Robert F. Kennedy Jr., an anti-vaccine activist and environmentalist, for years gained a loyal and fierce following with his biting condemnations of how the nation’s public health agencies do business. And that’s put him on a direct collision course with some of the 80,000 scientists, researchers, doctors and other officials who work for the Department of Health and Human Services, especially with President-elect Donald Trump tapping him to head the agency. If confirmed, Kennedy will control the world’s largest public health agency, and its $1.7 trillion budget. The agency’s reach is massive. It provides health insurance for nearly half of the country — poor, disabled and older Americans. It oversees research of vaccines, diseases and cures. It regulates the medications found in medicine cabinets and inspects the foods that end up in cupboards. A look at Kennedy’s comments about some of the agencies that fall within the HHS arena, and how he has said he plans to shake them up: Food and Drug Administration — “FDA’s war on public health is about to end,” he wrote on X in late October. “If you work for the FDA and are part of this corrupt system, I have two messages for you: 1. Preserve your records, and 2. Pack your bags.” The FDA’s 18,000 staffers include career scientists, researchers, and inspectors responsible for the safety and effectiveness of prescription drugs, vaccines and other medical products. The agency also has broad oversight of a swath of consumer goods, including cosmetics, electronic cigarettes and most foods. HHS has legal authority to reorganize the agency without congressional approval to maintain the safety of food, drugs, medical devices and other products. And Kennedy has long railed against the FDA’s work on vaccines. During the COVID-19 epidemic, his nonprofit group, Children’s Health Defense, petitioned the FDA to halt the use of all COVID vaccines. The group has alleged that FDA is beholden to “big pharma” because it receives much of its budget from industry fees and some employees who have departed the agency have gone on to work for drugmakers. His attacks have grown more sweeping, with Kennedy suggesting he will clear out “entire departments” at FDA, including the agency’s food and nutrition center. The program is responsible for preventing foodborne illness, promoting health and wellness, reducing diet-related chronic disease and ensuring chemicals in food are safe. Last month, Kennedy threatened on social media to fire FDA employees for “aggressive suppression” of a host of unsubstantiated products and therapies, including stem cells, raw milk, psychedelics and discredited COVID-era treatments like ivermectin and hydroxychloroquine. In the case of hydroxychloroquine, for example, the agency halted its emergency use after determining it wasn’t effective in treating COVID and raised the risk of potentially fatal heart events. Consuming raw milk has long been regarded as risky by the FDA because it contains a host of bacteria that can make people sick and has been linked to hundreds of illness outbreaks. If confirmed, Kennedy in principle could overturn almost any FDA decision. There have been rare cases of such decisions in previous administrations. Under both George W. Bush and Barack Obama, HHS overruled FDA approval decisions on the availability of emergency contraceptives. Unwinding FDA regulations or revoking approval of longstanding vaccines and drugs would likely be more challenging. FDA has lengthy requirements for removing medicines from the market, […]