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If confirmed as FDA chief, Overton will join the growing list of notably unqualified candidates this administration has nominated at the expense of the American people.
Last week, the US Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing for President Donald Trump’s nominee to lead the Food and Drug Administration (FDA), Dr. Heidi Overton.
During the hearing, Dr. Overton followed suit with many of Trump’s previous nominees for federal agencies—avoiding questions, obscuring her true intentions, and feigning ignorance of her own public record on a range of topics.
Her nomination comes at a fraught moment for the agency. The FDA is facing heavy criticism following a Cyclospora outbreak that sickened many and rattled the public. The prior commissioner abruptly resigned after only 13 months in the role. The agency has also wrestled with political pressure on everything from reproductive health to vaccinations to flavored e-cigarettes, imperiling its historic scientific neutrality and risking a descent into partisan miasma.
Dr. Overton remains dangerously out of step with the general public, medicine, and science on the subject of medication abortion with mifepristone and her record explicitly showcases that she will do everything in her power to ban medication abortion.
The FDA works best when publicly unnoticed, operating smoothly and uncontroversially in the background of our country, keeping us safe. It is vital to our economy as well as our health. Take, for example, my home state of Ohio. Healthcare is our largest employment sector, and nearly half of our land is farmland. As a maternal fetal medicine physician, the scope of my work is providing the best care to my patients and advising on the available options to receive comprehensive medical care.
Therefore, we need an FDA leader steeped in objective, scientific neutrality rather than the culture wars Americans are so tired of — and Dr. Overton is a far cry from what is needed in this moment.
This week marks 26 years since the FDA initially approved mifepristone as safe and effective. Since the Dobbs decision, mifepristone has emerged as a linchpin in the preservation of access to abortion care for millions of patients. It also rests atop an enormous bedrock of research and clinical trials expounding its safety and efficacy.
As of December 2025, medication abortion has accounted for 65% of all US abortions, and one in four clinician-provided abortions were delivered through telehealth. Mifepristone specifically is used to support patients with their reproductive care and is even recommended by the American College of Obstetricians and Gynecologists for miscarriage management.
The American Medical Association has stated that serious adverse events occur in fewer than one-third of one percent of patients who take mifepristone, and continuing a pregnancy carries roughly 14 times the risk of death than abortion related complications. Reimposing in-person requirements, the AMA warns, would eliminate access for rural, low-income, and underserved patients and limit the quality of care that doctors are able to provide. In February 2026, ACOG led a coalition of 15 medical organizations in defending mifepristone's safety record in court.
And yet, Dr. Overton remains dangerously out of step with the general public, medicine, and science on the subject of medication abortion with mifepristone and her record explicitly showcases that she will do everything in her power to ban medication abortion.
She celebrated the overturning of Roe v. Wade as “a huge victory for life,” dismissed federal legislation protecting abortion rights as “radicalism,” and has promoted misinformation about the safety of medication abortion that contradicts more than two decades of evidence. As a member of the America First Policy Institute, Overton authored position papers advocating draconian federal regulation of medication abortion. Such measures would dangerously cripple access to safe abortion.
Her nomination to this role is a threat to women’s health, the credibility of the FDA, and the wellbeing of every American. That’s why I joined over 160+ patients, physicians, and advocates from across the country in signing a letter to Senators to reject her nomination.
Beyond politics, it has been noted that Dr. Overton lacks the administrative experience necessary to manage an organization as large as the FDA, with thousands of employees. If confirmed, she would report to an HHS secretary who also lacked significant administrative experience. When RFK Jr. faced nomination, much of the focus was on his lack of training in science, medicine, or healthcare. Less discussed was his lack of management experience, the consequences of which have been evident in the organizational disarray at HHS.
Dr. Overton has laudable academic credentials, including a PhD from Johns Hopkins. But a prestigious degree and impressive publications alone are not enough to lead one of the country’s most consequential healthcare agencies. They are the table stakes, not the winning hand.
You have to have experience running a large organization to be charged with leading another large organization. Given the respective stakes at the FDA, we should not be rolling those dice.
A physician-leader who can do everything is a truly amazing person: someone who treats patients as a doctor, educates as a teacher, investigates as a scientist, and manages thousands of employees with administrative ease. Such people are rare, but they exist. We know who they are, and these are the people who should be considered for such a critical role at the FDA — not Dr. Overton
If confirmed, Dr. Overton will join the growing list of notably unqualified candidates this administration has nominated at the expense of the American people, and we must continue to speak up against these affronts on our democracy.
"Wow! The American people are so excited to know now that!" US Sen. Bernie Sanders sarcastically said of Trump's false prescription drugs claim.
Sen. Bernie Sanders on Thursday grilled President Donald Trump's nominee to lead the US Food and Drug Administration about the president's false claims about the price of prescription drugs in the US.
During a Senate confirmation hearing, Sanders (I-Vt.) asked Dr. Heidi Overton about Trump's boast at this year's State of the Union address about giving Americans the cheapest medications of any country in the world.
“President Trump has claimed... that he took prescription drugs from the highest price in the entire world to the lowest,” Sanders said in an incredulous tone.
“Wow!" he continued sarcastically. "The American people are so excited to know now that we pay the lowest prices in the world for prescription drugs.”
BERNIE SANDERS: Trump claims we pay the lowest prices in the world for prescription drugs. Wow! Is the president telling the truth?
FDA NOMINEE HEIDI OVERTON: There has been immense progress--
SANDERS: Do we pay the lowest prices like the president said? You just told us you… pic.twitter.com/X7gWNbSmik
— Aaron Rupar (@atrupar) September 24, 2026
"What do you think?" Sanders asked Overton. "Are we paying the lowest prices in the world for prescription drugs?"
"Senator... there has been immense progress, especially on individual products," Overton replied. "Right now, 89% of branded drugs have signed agreements to lower their prices and make that available..."
Sanders at this point interjected.
"Do we pay the lowest prices?" he asked. "The president said it. He's your boss... He just said we pay the lowest prices in the world for prescription drugs. It's true or it's not true. Is it true?"
"Senator, we have seen..." Overton began.
"Is it true that we pay the lowest prices in the world for prescription drugs, as President Trump has said?" Sanders persisted.
"So, senator, the results that we have seen for the American people... have dropped prices," she replied. "And right now [the Consumer Price Index] says that, for the first time in 60 years, prescription drug prices have gone down by 3%."
"Which may have something to do with the legislation that we passed several years ago," said Sanders, in reference to provisions in the 2022 Inflation Reduction Act that granted Medicare the power to negotiate lower prices for certain prescription drugs.
Even if Trump's policies were solely responsible for a 3% drop in drug prices, that would not make them the lowest in the world by any stretch of the imagination.
A 2024 study from the RAND Corporation found that Americans pay nearly three times as much for prescription drugs compared to the rest of the world.
Sanders' office last year released a report showing that, during the first year of Trump's second term, drug companies raised prices on 688 medications, with a median increase of 5.5%.
Trump has a long history of making false claims about reducing prescription drug costs, and has even said that he has slashed them by as much as 600%, which would mean that pharmaceutical companies are paying consumers to take their medications.
"The American people deserve someone who will put science and facts FIRST, not another Trump sycophant who will make it their mission to attack medication abortion," said one Democratic senator.
President Donald Trump on Wednesday tapped White House health policy adviser Dr. Heidi Overton to lead the Food and Drug Administration, a move that drew fierce opposition from Democratic lawmakers, reproductive rights advocates, and public health experts, who pointed to her opposition to abortion rights and support for controversial changes to federal vaccine policy as cause for alarm.
Trump took to his Truth Social network to announce his pick of Overton, a physician and deputy director of the White House Domestic Policy Council, to replace former FDA Commissioner Marty Makary, who resigned in May following months of turmoil at the agency. The president described Overton as a "ROCKSTAR" in his administration who will "deliver on the MOST TRANSFORMATIVE Health Agenda in History."
"Heidi is 'ALWAYS RIGHT,' Secretary Kennedy recently said in the Oval Office!" Trump continued, referring to Health and Human Services chief Robert F. Kennedy Jr. "We need her leadership at the FDA now to ensure that the US remains the WORLD LEADER for Scientific Discovery and CURES."
The president also said Overton would work with Centers for Medicare & Medicaid Services Administrator Mehmet Oz to advance his agenda of faster drug approvals, increased innovation, clinical trial reforms, and lower prescription drug prices.
However, skeptics argue that Overton’s policy record raises serious questions about whether she would maintain the FDA’s scientific and regulatory independence in an administration in which critics say loyalty to Trump is of paramount importance.
Reproductive Freedom for All—formerly the National Association for the Repeal of Abortion Laws and NARAL Pro-Choice America—noted that "Overton has an extensive anti-abortion record."
The group continued:
She celebrated the overturning of Roe v. Wade as a “huge victory,” and has advocated for the politicization of government agencies to help advance a nationwide anti-abortion agenda. She previously worked at America First Policy Institute, an extreme conservative think tank made up of former Trump administration officials, where she authored a brief pushing disinformation about the safety of medication abortion and calling for additional, medically unnecessary restrictions on access to mifepristone.
“Donald Trump is trying to put an anti-abortion extremist in charge of any agency that could seriously undermine reproductive healthcare—including the agency that could roll back access to mifepristone nationwide," Reproductive Freedom for All president and CEO Mini Timmaraju said. "Her nomination is another alarming step in Trump’s plan to weaponize every part of the federal government to restrict abortion nationwide.”
Overton's shifting stance on vaccines also raised eyebrows.
Endpoints News senior senior reporter Max Bayer highlighted how, while working at AFPI, Overton "and others praised Operation Warp Speed, the massive government initiative to expedite development and manufacturing of the Covid-19 vaccines" during Trump's first administration.
But less than a year later, Bayer said, Overton "advocated against Covid-19 school vaccine mandates, writing in an editorial the data supported more parental choice in the decision."
"Overton stood by Trump earlier in August as he announced a sweeping and contentious new executive order amending the childhood vaccine schedule and advising that the [measles, mumps, and rubella] vaccine be broken up into individual components," he added. "Makers of the vaccine pushed back on the directive, but now with Overton in line to lead the FDA, there could be enhanced pressure for drugmakers to follow through on the request."
Democratic US lawmakers also voiced opposition to Overton's nomination.
"Heidi Overton is a far-right, anti-abortion extremist who has no business leading the FDA," Sen. Patty Murray (D-Wash.) said on social media. "The American people deserve someone who will put science and facts FIRST, not another Trump sycophant who will make it their mission to attack medication abortion. I will vote NO."
At least one Republican lawmaker—who chairs the Senate Health, Education, Labor, and Pensions Committee—also questioned Trump's pick.
"While I respect Dr. Overton’s experience as a physician, I have strong concerns about her nomination to be FDA commissioner," Sen. Bill Cassidy (R-La.), a gastroenterologist, said on X. "Her lack of managerial experience does not prepare her well for leading a large organization that is already dealing with staffing and morale issues."
"Additionally, Dr. Overton’s active role in last week’s nonsensical vaccine executive order calls into question her commitment to standing up for sound science and protecting children’s health. That alone is almost disqualifying," added Casisdy, who earlier this year lost a primary race to a Trump-backed challenger.
Overton's nomination comes amid turmoil at an agency that has seen thousands of employees fired by Kennedy since last year amid Trump administration efforts to shrink the government in line with Project 2025, the Heritage Foundation-led framework for a far-right federal overhaul.
Chris Meekins, a former Trump health official who is now an analyst at the investment bank Raymond James, told clients that Overton would be "like Makary, but probably worse."
“Being seemingly inexperienced and unqualified is fine if you have self-awareness and humility and a strong team around you,” Meekins wrote. “Based off of our DC channel checks, she does not seem to have either."