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The soft eugenics of MAHA: Measles and RFK Jr.

I’ve long said that the antivax movement is borderline eugenicist (or at least social Darwinist) in nature. Given the ongoing measles outbreak, with two children dead so far, it’s time for me to take a look at the “soft eugenics” of the antivax movement and, more generally, the MAHA movement.

The current ongoing measles outbreak in west Texas, which is the largest, and other outbreaks in other states are clearly associated with low vaccine uptake, and two children and one adult have died of measles thus far. I hate to have to repeat this again, but measles is one of the most transmissible respiratory viruses, and maintaining herd immunity/community immunity requires a high level of vaccine uptake in a population, at least 90-95%. As of early April, the US had seen twice as many measles cases as it did in all of 2024, and the number continues to climb, with three fatalities from measles, two children and one adult…so far. Elsewhere, there have been smaller outbreaks in New Mexico, Kansas, Oklahoma, Ohio, and New Jersey.

A few weeks ago, I wrote what to me was a frightening and difficult-to-contemplate post in which I made some predictions about how our new Secretary of Health and Human Services, longtime antivax activist Robert F. Kennedy, Jr., might go about dismantling federal vaccination and public health programs. It turns out that my imagination wasn’t expansive enough, as he’s come up with ways that I hadn’t thought of, such as eliminating grant funding for studies of vaccine hesitancy, COVID-19 vaccines, and COVID-19 itself. While this current outbreak cannot be attributed to RFK Jr.’s policies given that he hadn’t been confirmed as HHS Secretary yet when it began, I agree with Dr. Paul Offit that, thus far, RFK Jr.’s response has been abysmal. On the other hand, the declining uptake of the measles-mumps-rubella (MMR) vaccine and other vaccines driven by the distrust of vaccines stoked by the antivaccine movement, of which RFK Jr. has been the most prominent American voice since 2005, can be laid right at RFK Jr.’s doorstep. Before he became HHS Secretary, he was a major influential figure in the antivax movement and worked tirelessly to spread fear, uncertainty, and doubt (FUD) about vaccines. The more I think about what’s been happening since January 20, when Donald Trump was inaugurated as President again, and mid-February, when RFK Jr. was confirmed as HHS Secretary, the more I agree with Derek Beres of the Conspirituality Podcast that what we’re looking at is, while perhaps not exactly active eugenics, but a form of what Beres termed “soft eugenics.”

“Make America Healthy Again”: “Soft eugenics” and social Darwinism

RFK Jr.’s history of antivaccine activism is well known and has been well documented, both at this blog and over at my not-so-super-secret other blog. I mentioned “soft eugenics” in the title of this post. Before I proceed to explain, I have to give a hat tip to Derek Beres at the Conspirituality Podcast, specifically the March 8 episode, MAHA’s Soft Eugenics. The reason that I feel obligated to mention them is because, although I’ve long called, for example, the Great Barrington Declaration a “eugenicist” document and referred to the eugenics-adjacent tendencies of the antivaccine movement, I had been a bit troubled, a bit concerned that perhaps I was overstating my case. Eugenics, after all, implies the active removal of those thought to be inferior, either through sterilization or outright killing, and, say what you will about RFK Jr. and the antivaccine movement, it’s difficult to accuse them of actively doing that. What the antivaccine movement does—and has always done—is basically “let nature take its course”; i.e., let nature do the culling. The child who survives was “fit,” and the child who doesn’t wasn’t. That’s why I like the term “soft eugenics,” which was defined in the episode thusly:

To be very clear, I don’t think Kennedy or any of the wellness influencers I’ve criticized are eugenicists in terms of advocating for the death of a group of people or even suggesting fetuses with genetic problems should be killed. That’s not what we’re discussing here. That type of language predominantly remains over on the fringes of ethno-nationalism.

But it very much fits the bill of soft eugenics, which is more of a shrug and sigh than a battle cry. We’ve been hearing this type of rhetoric from anti-vaxxers and anti-maskers since COVID. But to be honest, it pervaded wellness speak for generations.

When you hear an influencer claim that someone died with COVID, which is a thoroughly debunked idea, instead of saying they died from COVID, you’re hearing soft eugenics. When you hear someone, as I pointed out on Thursday’s episode, talk about only malnourished children dying of measles and healthy children have nothing to worry about. I mean, it’s an immunological rite of passage.

Of course, when the first child died of measles a month ago, I noted that all the old measles tropes had come back (they had never really ever gone away, in fact), in particular the claim that measles is a benign childhood illness that rarely causes significant injury, disability, or death—in “healthy” children, that is.

With that passage, it all crystallized in my head. I had heard a term that accurately describes the antivaccine movement. Instead of an active removal of the “unfit” from the gene pool, “soft eugenics” is more of a shrug, followed by an attitude of “let nature take its course.” The idea, of course, is that the “fit” will easily survive the challenge—in this case, measles—and it’s only if you’re “unfit” somehow that you have anything to worry about. What also caused the lightbulb to go on in my head was the realization that there is a real point here. It wasn’t just the antivaccine movement. It is huge swaths of MAHA, which is derived from older, more general quackery. Thinking about “soft eugenics” in the context of MAHA and the antivax movement led me to realize, however, that MAHA is not just soft eugenics. After all, eugenics implies removing from the gene pool, which fits the antivaccine movement and many of the ideas promoted by “wellness” influencers if you’re talking about children who have not yet reached reproductive age, but what about adults or the elderly?

It turns out that very similar ideas were behind the Great Barrington Declaration, a document published by Martin Kulldorff, Sunetra Gupta, and our new NIH Director Jay Bhattacharya that basically advocated a “let ‘er rip” approach to COVID-19 in order to achieve “natural herd immunity.” But what about those at high risk for hospitalization, complications, and death from COVID-19? The authors of the GBD advocated for them “focused protection.” Unfortunately, this was never really well defined; it was basically an afterthought. The overall document was at the very least social Darwinist, its central idea being that the “young and healthy” will be fine if they get COVID-19 and therefore shouldn’t be expected to alter their lifestyle and participate in “lockdowns” in order to protect the vulnerable.

See where the social Darwinism comes in? Admittedly, I’m not a historian (although I do know a hell of a lot about World War II and Nazi Germany, given an interest in WWII that dates back to junior high) nor am I an expert in these topics, but I know enough to know that eugenics is related to social Darwinism, and vice-versa. Eugenics tends to be more about actively trying to “improve the gene pool” by decreasing the fertility of people who are considered “inferior” and/or promoting childbearing among people considered “superior.” Social Darwinism can encourage such negative and positive eugenics, but doesn’t have to. It is more like the “soft eugenics” in that it posits a worldview in which the “strong” or the “fit” should have higher social status and the “weak” or the “unfit” should be subservient or allowed to die. In a more individualistic, laissez-faire societies (e.g., the US), the individual tends to be the unit of selection, while in more nationalist movements it is the race or ethnic groups (e.g., Nazi Germany). Social Darwinism tends to justify socioeconomic differences as being a product of the “strong” rising and the “weak” being left behind, considering this to be “nature.” You can see how an attitude of “let nature take its course” and “if he dies, he dies” can be compatible with this worldview.

In any event, call it what you want, “soft eugenics” or social Darwinism, what the antivaccine movement basically promotes is a deceptive appeal to nature, in which immunity from “natural infection” is always superior to “artificial” immunity from vaccines (never mind that the same immunologic mechanisms are at work) and infectious disease is nothing to worry about if you are “fit” and have a “healthy immune system.” In that latter case, you will suffer briefly, but come out fine on the other side, with all-powerful superior “natural immunity” to the disease. When last I wrote about measles tropes, I pointed out how desperately antivaxxers work to portray measles as a “harmless” disease, to the point where they like to refer to an old episode of The Brady Bunch in which the kids all caught measles or episodes of The Flintstones or The Donna Reed Show in which measles is played for laughs as evidence that, before the measles vaccine arrived six decades ago, people didn’t view measles as much of a threat or big deal, contrary to today of course.

After the first measles death, RFK Jr. himself, under the guise of supposedly recommending that parents get their children vaccinated with MMR, promoted such tropes, as I detailed. Read the post for the details, but examples included emphasizing vaccination as a personal choice, saying that children died “with measles” instead of “of measles,” doing his best to downplay the risk of measles, and recommending vitamin A to treat measles, when the only evidence that it helps comes from children in underdeveloped countries, where the prevalence of nutritional deficiencies, including. Vitamin A, is high. (Unsurprisingly, there have been cases of Vitamin A toxicity among the children of antivax parents seeking to prevent or treat measles with it.)

As Beres put it:

And if someone dies from natural infection, I’m gonna find a reason why they couldn’t possibly be healthy in the first place, instead of recognizing that measles is a vicious disease that can cause a lot of chronic disease, blindness, and at the extreme, kill people, mostly young children. Like I said, a sigh, but a rather pernicious one.

Indeed. Let’s take a look at an example, namely the first child to die. I expect that it won’t be long before the second child and her parents are subject to the same treatment.

How antivaxxers and MAHA react to deaths from measles

It represents a challenge for antivax messaging whenever a child dies of a vaccine-preventable disease like measles, and antivaxxers know it. As a result, as soon as the news was announced, a number of the usual antivax suspects started promoting familiar narratives. For example, some said that the child died “with measles,” not “of measles,” because she had apparently died of a superimposed bacterial pneumonia. A variant of that was that the child never had measles at all, as Mike Adams tried to claim:

The recent media frenzy over a supposed measles outbreak has been met with skepticism by health freedom advocates. Mike Adams, founder of Brighteon and host of Brighteon Broadcast News, has called the panic a “total hoax.” He highlights a recent case in Texas where a child reportedly died “with measles,” not “from measles.”

“The child died in a hospital, and the cause of death was likely something else entirely,” Adams explains. “They probably used a PCR test to claim the child had measles, but that doesn’t mean measles was the cause of death. This is fearmongering at its worst.”

Sound familiar? Brian Hooker, a chemical engineer turned incompetent antivax “epidemiologist” (and the chief scientific officer of RFK Jr.’s old antivax group Children’s Health Defense) opined:

Hooker said the lack of useful information about the current measles outbreak in Gaines County, Texas, has been “extremely frustrating.” The West Texas county has been home to a Mennonite community since 1977, according to the Seminole Chamber of Commerce.

“People typically don’t just die from measles,” Hooker said. “We know it was a child in the Lubbock, Texas, hospital — that’s it. No idea of comorbidities, complications, course of disease, nothing.”

Notice the obvious underlying assumption that children don’t die of measles unless they are somehow unfit less than healthy to begin with. Of course, if a child actually does have a medical condition that predisposes them to severe complications or death from measles, that’s actually all the more reason to get that child vaccinated!

Unsurprisingly, Del Bigtree also jumped on the bandwagon, interviewing mothers of unvaccinated children who had contracted the measles and recovered, all of them standing by their decision not to vaccinate using similar sorts of assumptions, such as “natural immunity” being better, the vaccine being “unnatural” or otherwise somehow inferior, and the disease itself not being that serious. Of course, he featured a quack who claims to be able to treat measles with budesonide, an inhaled steroid that COVID-19 contrarians had touted as a highly effective treatment for severe COVID-19, just showing how not only is everything old new again but lots of new things are being repurposed for the old, as in unproven COVID-19 treatments being applied to the new measles outbreak.

CHD, for its part, decided to exploit the grieving parents of the girl who died, neither of whom regretted not vaccinating, despite holding back sobs as they described how their girl had gotten sick from measles, developed pneumonia, and then ended up on a ventilator in a hospital, where she eventually died. From a local news report:

The couple, members of a Mennonite community in Gaines County with traditionally low vaccination rates, spoke on camera in both English and Low German to CHD Executive Director Polly Tommey and CHD Chief Scientific Officer Brian Hooker.

“It was her time on Earth,” the translator said the parents told her. “They believe she’s better off where she is now.”

“We would absolutely not take the MMR,” the mother said in English, referring to the measles-mumps-rubella vaccination children typically receive before attending school. She said her stance on vaccination has not changed after her daughter’s death.

“The measles wasn’t that bad. They got over it pretty quickly,” the mother said of her other four surviving children who were treated with castor oil and inhaled steroids and recovered.

The couple told CHD that their daughter had measles for days when she became tired and the girl’s labored breathing prompted the couple to take her to Covenant Children’s Hospital in Lubbock. There, the girl was intubated and died a few days later. The other children came down with measles after their sister died.

The parents also noted about their other children, “The measles wasn’t that bad. They got over it pretty quickly.”

I watched as much of the actual video as I could stand, given the ghoulishness of Brian Hooker and Andrew Wakefield’s old antivax friend Polly Tommey. Even though Tommey oozes sympathy for the parents, her questions indicate that she was looking for a reason to dismiss measles as the cause of this poor girl’s death. More disturbing, the parents are still antivaccine and attribute their daughter’s death to the will of God:

The couple, who are Mennonites, believe their daughter’s death was the will of God. When Children’s Health Defense’s director of programming, Polly Tommey, asked specifically about parents who heard their story and might be “rushing out, panicking,” to get the measles, mumps and rubella (MMR) vaccine, the parents rebuked the intervention that offered the best chance of preventing their daughter’s death.  

“Don’t do the shots,” the girl’s mother said. Measles, she added, is “not as bad as they’re making it out to be.” She noted that her four other children all recovered after having received alternative treatments from an anti-vaccine doctor, including cod liver oil, a source of vitamin A, and budesonide, an inhaled steroid usually used for asthma.

Again, everything old is new again and new is old again, including RFK Jr.’s response. This time around, he did go to Texas to attend the funeral of the girl who died:

U.S. Health and Human Services Secretary Robert F. Kennedy Jr. visited the epicenter of Texas’ still-growing measles outbreak on Sunday, the same day a funeral was held for a second young child who was not vaccinated and died from a measles-related illness

Kennedy said in a social media post that he was working to “control the outbreak” and went to Gaines County to comfort the families who have buried two young children. He was seen late Sunday afternoon outside of a Mennonite church where the funeral services were held, but he did not attend a nearby news conference held by the U.S. Centers for Disease Control and Prevention about the outbreak.

Seminole is the epicenter of the outbreak, which started in late January and continues to swell — with nearly 500 cases in Texas alone, plus cases from the outbreak believed to have spread to New Mexico, Oklahoma, Kansas and Mexico.

The optimist in me likes to hope that encountering people who suffered unimaginable loss due to a vaccine-preventable disease might change RFK Jr. Did it? Judging from his response, probably not. Characteristically, he posted his response to X, the hellsite formerly known as Twitter:

Screenshot of a tweet from "Secretary Kennedy" discussing a visit to Texas to support families affected by a school shooting, with emphasis on healthcare measures including measles outbreaks and CDC response.

Notice how RFK Jr. buried that statement about the “most effective way to prevent the spread of measles is the MMR vaccine” almost as an afterthought, after having touted how supposedly the growth rates for new cases and hospitalizations have “flattened.” The overall message comes across to me as grudgingly admitting that the MMR vaccine works but implying that it’s probably not that necessary anymore because things are getting better. (Hint: If an another child dies, things aren’t getting better. Actually, just objectively, the outbreak is not yet waning.)

While it might be a good thing that RFK Jr. sees the actual fruits of his two decades of antivaccine fear mongering about vaccines, including the MMR, somehow I doubt that it will change him, but his post did have its intended effect, resulting in a number of news reports that took his statement at face value and ignored context, resulting in headlines like:

Notice what RFK Jr. didn’t do? He didn’t do what past HHS Secretaries and CDC Directors did in the face of measles outbreaks or outbreaks of vaccine-preventable diseases. He didn’t urge families to vaccinate their children. He didn’t mobilize mass vaccination efforts and public messaging campaigns about the vaccine. He just said that the MMR is the “most effective” way to prevent measles spread without actively encouraging vaccination. (Hell, he barely passively recommended vaccination.) It’s because he can’t promote vaccination. Even if he could bring himself to say explicitly that the MMR vaccine is safe and effective and doesn’t cause autism (or all the other things he’s claimed that it causes), MAHA has framed vaccination solely as an individual choice without regard to society at large. Unfortunately, mainstream media outlets appear so eager to promote a message that RFK Jr. is normal—or, at least, not entirely unreasonable—that they leapt to take at face value his grudging statement about MMR while ignoring its context and insincerity.

Meanwhile, Sen. Bill Cassidy posted:

We actually now do know that the child was, unsurprisingly, not vaccinated.

Too bad that Sen. Cassidy could have stopped RFK Jr.’s nomination in its tracks but was too cowardly to do so. He can try to assuage his conscience now by playing at being the voice of science, but it’s too late.

Finally, if Sen. Cassidy thinks that maybe RFK Jr. has learned something and changed his tune, he should just check out what he posted later yesterday:

A large group of people, including men, women, and children, pose together in a warmly decorated room. Bookshelves and framed pictures are visible in the background. Some individuals are crouching or kneeling, while others stand behind them.

Lest anyone think that RFK Jr. was serious when he said that vaccination was the best measure to prevent the spread of measles, notice that there’s no mention of vaccines or of the importance of getting vaccinated in this post. Instead, he is touting a visit with a quack who has been using unproven and ineffective measles treatments. (I really do need to write about Ben Edwards’ “protocols.”) The message couldn’t be plainer.

Enter The Secret

The interesting thing about the soft eugenics of MAHA and the antivax movement is that it isn’t just about “survival of the fittest” (or health of the fittest); that is, unless you consider fitness to include will, as in triumph of the will. Beres said it one way:

You’re hearing the language of soft eugenics. And when you hear the blaming of chronic disease on fat people who don’t know how to control their urges, which is something I’ve seen for years in the wellness landscape, yeah, you’re hearing soft eugenics. It’s this moralizing of wellness, this idea that your health is only dependent on you.

And if you can’t achieve it, you’ve failed. Because there’s a level of unacknowledged privilege that’s infected wellness for a long time. It might be genetic privilege.

It’s often financial privilege. But what you’re really hearing is someone say, you, you’re not me. And when you unpack that sentiment, it actually translates to, I’ve had a set of opportunities and access that I’m blind to, because I just assume everyone has the same opportunities and access.

That’s an excellent way of saying it. For example, I love to refer to Bill Maher’s long-ago claim that his lifestyle was so healthy that he couldn’t catch the flu. The example that he used was that, were he to fly in an airplane in which a lot of the passengers were coughing, he would not catch the flu. This claim led to one of my favorite retorts, a retort so brilliant that, even 16 years after writing about it, I still remember it and still refer to it. It came from, of all people, Bob Costas, who gave Maher serious side-eye and said sarcastically, “Oh, come on, Superman!”

Perhaps the most blatant example of this attitude comes from an episode of The Highwire with Del Bigtree posted in June 2020, when he dismissed the idea that he is obligated to do anything for those susceptible to death or severe complications from COVID-19, the frequency of whom he rates at 0.26%, completely blaming the victim:

But here’s the problem. When you were my age, you were most likely eating food and fast food and Doritos and drinking Coca-Cola, which you’ll never find in my home. You were eating that all the time. You probably were drinking a lot of alcoholic beverages and really liked to party and enjoyed your cigarettes and said to yourself, “You know what? It’s more about the quality of my life right now. I don’t care if I live to be 100 years old. I want to enjoy my life right now. I like the finer things in life. I like good rich food. I like smoking a cigarette once in a while. I like to drink my drinks.” And you know what? Good on you! That’s the United States of America. No problem, that, some of my best friends think like that. It’s great, and they’re fun to hang out with. That’s perfectly OK.

But here’s what’s not OK. When you reach that point in your life where now your arteries are starting to clog up, your body is shutting down, and the alcohol is eating up your liver, and you have diabetes, or you have COPD, you have asthma, you can’t breathe, all the cigarette smoking has finally caught up with you, you have heart disease because of the way you decided to live your life in the moment, here’s what you are now. You are pharmaceutical-dependent. You did that to yourself, not me. You decided that the moment mattered, and now you find yourself pharmaceutical-dependent, which is really what that 0.26% is, and that’s OK too. Thank God there’s drugs out there! There’s drugs that allow you to eat the Philly cheesesteak even though your body knows it hates it, but, go ahead, take the Prilosec. What difference does it make? Drug yourself! Drug yourself! Get through the day! Don’t exercise! Maybe just attach an electrode and see if a little electricity to the stomach will give you the abs you want.

What follows is Bigtree moralizing about those who had not been sufficiently “virtuous” and now have chronic disease with respect to vaccine mandates, which he views as being forced to become “pharmaceutical-dependent”:

Or could we live and let live? Eat all the Twinkies you want! Drink all the bourbon you want, and smoke as many cigarettes as you want, and when you find yourself pharmaceutical-dependent I will go ahead and say thank God the drug companies are there for you, but you do not get to make me pharmaceutical-dependent. You do not get to put me in the way of Heidi Larson, who wants to eradicate natural health and natural immunity and make us all pharmaceutical dependent.

See what I mean?

I look at it slightly differently though. While it is true that MAHA seems to view health as a result of virtue, as evidenced by virtuous behavior (as defined by MAHA, of course), I hear echoes of The Secret in MAHA that I wrote about a couple of months ago, inspired by—of course!—RFK Jr.’s answers at his confirmation hearing, specifically:

Specifically, the key part of the exchange that caught my ear was this part of RFK Jr.’s answer to the question, which occurred after he had dodged and weaved in order not to give a definite yes/no answer:

Free speech doesn’t cost anybody anything, but in health care, if you smoke cigarettes for 20 years and you get cancer you are now taking from the pool. Are you guaranteed the same right?

Does this sound familiar? It’s a recurring theme that we hear from believers in alternative and “natural” medicine, namely the victim-blaming idea of lifestyle über alles in medicine, the judgmental mindset that if you are ill it is your fault. This is, of course, very much like what Beres was saying. If I were to sum up the idea succinctly, it is the concept that virtue equals health and that, if you are not healthy, you must not be virtuous. In this context, “virtue” means leading a “virtuous” lifestyle with respect to health; i.e., eating a healthy diet, exercising, not indulging in habits that contribute to chronic disease, etc. Consequently, if you develop lung cancer or heart disease as a result of your having smoked cigarettes for 20 or 30 years, somehow you are less deserving of healthcare. It’s a concept that suffuses the antivax movement too, with claims that diet and healthy living can prevent disease better than any vaccine.

I’ve written more than once over the years about the central idea that undergirds alternative medicine (which the new Lysenkoism that is MAHA includes as a major part of what it is), an idea that I once called the central dogma of alternative health, namely a variant of “The Secret,” or, as I like to call it, “wishing makes it so.” Recall that The Secret posits the universe will provide what you need and want if only you want it badly enough. While it is true that if you want something badly enough, you are far more likely to strive to get it, The Secret makes it seem as though it is an ironclad law that if you want something badly enough, the universe will provide. In the case of MAHA, it manifests—if you’ll excuse my use of the word—as the idea that a virtuous lifestyle with respect to health will ward off all disease, the flip side being that, if you’re sick, then you must not have been living a virtuous enough lifestyle or wanted health badly enough.

Bringing it all together, “fitness” in MAHA (and the antivax movement) thus involves not just genetic fitness, but it also involves moral fitness, with “moral” being whatever MAHA decides is virtuous with respect to health. It’s an attitude that underlies a lot of the unproven treatments and “biohacking” promoted by MAHA, as Beres notes:

It’s often financial privilege. But what you’re really hearing is someone say, you, you’re not me. And when you unpack that sentiment, it actually translates to, I’ve had a set of opportunities and access that I’m blind to, because I just assume everyone has the same opportunities and access.

And this is the mentality that often leads to assuming biohacking protocols and untested supplements are the keys to optimal health, not money or geography or social status. And that blindness leads to a set of assumptions about health that doesn’t reflect the biological, social, historical, or geographical factors that all play into individual health. And if you’re that far off the mark with individual health, well, public health is definitely going to elude you.

That’s also what allows you to look at one of the greatest health interventions in human history and say, no, no, no, no, no, no, no. I’m not gonna believe centuries of scientific rigor testing and yes, failures, to where we’ve come to today. Instead, I’m going to stand firm in my conviction that cod liver oil is a better therapeutic than a vaccine.

Yes, I realize that I forgot to mention that RFK Jr. did indeed suggest that cod liver oil could treat measles. At its core, MAHA, of which RFK Jr.’s antivaccine activists is but a part (albeit a huge part), makes health an individual responsibility, denying any sort of public or collective responsibility and defining health as the result of individual willpower, actions, and virtue with respect to health. It ignores social determinants of health, how infectious diseases like measles cannot be controlled with a focus on the individual alone and requires a public health effort, opting instead to make all health and public health a matter of will and good ol’ American “do it yourself” doggedness and ingenuity.

It will be interesting—and likely in many cases tragic—to see what happens when the fantasy of MAHA meets the reality of dealing with healthcare policy on a national level. In the case of measles, so far it hasn’t been a pretty sight, as Dr. Offit and the recently ousted Dr. Peter Marks, the FDA’s recently ousted Director of the Center for Biologics Evaluation and Research (CBER), head of both note, but it won’t just be measles where reality will collide with fantasy, particularly given the massive cuts to HHS that would hamstring RFK Jr. from accomplishing much, even if he were competent and reality-based.

By Orac

Orac is the nom de blog of a humble surgeon/scientist who has an ego just big enough to delude himself that someone, somewhere might actually give a rodent's posterior about his copious verbal meanderings, but just barely small enough to admit to himself that few probably will. That surgeon is otherwise known as David Gorski.

That this particular surgeon has chosen his nom de blog based on a rather cranky and arrogant computer shaped like a clear box of blinking lights that he originally encountered when he became a fan of a 35 year old British SF television show whose special effects were renowned for their BBC/Doctor Who-style low budget look, but whose stories nonetheless resulted in some of the best, most innovative science fiction ever televised, should tell you nearly all that you need to know about Orac. (That, and the length of the preceding sentence.)

DISCLAIMER:: The various written meanderings here are the opinions of Orac and Orac alone, written on his own time. They should never be construed as representing the opinions of any other person or entity, especially Orac's cancer center, department of surgery, medical school, or university. Also note that Orac is nonpartisan; he is more than willing to criticize the statements of anyone, regardless of of political leanings, if that anyone advocates pseudoscience or quackery. Finally, medical commentary is not to be construed in any way as medical advice.

To contact Orac: [email protected]

50 replies on “The soft eugenics of MAHA: Measles and RFK Jr.”

Measles? Yawn! Only 17 new cases over the last report?!

Don’t you guys just hate it that so many kids are vaccinated, preventing the virus from running rampant? Oh well, there is hope. When more and more parents forego MMR, measles will one again rage like back in the day; lots infections and lots of deaths! The public will be pissed at antivaxxers and have a reckoning with them.

Wait! That might take too long! By then Kennedy will produce all those ‘fake’ studies, and everyone will hate vaccines. Aarrgghh!!!

https://www.dshs.texas.gov/news-alerts/measles-outbreak-2025

Just 17 cases in four days? Are you innumerate? Here is the full sentence: “At this time, 663 cases have been confirmed since late January. This is an increase of 17 since the April 25 update.”

Also, those are just the reported cases, there are definitely more cases.

Do you really enjoy sick kids suffering enough to get hospital care? That is sadistic (also death is not the only bad outcome). More that your rant left out of your cherry picking: “Eighty-seven of the patients have been hospitalized. This number is the total number of people hospitalized over the course of the outbreak. It is not the current number of people in the hospital. Today’s report includes 23 additional hospitalizations from earlier in the outbreak. The numbers may increase as DSHS receives records for earlier cases.”

Fred was exulting weeks ago here about the TX measles outbreak supposedly petering out.

He’s a mush-headed troll.

Don’t be like Fred.

Unlike Fred, I understand exponential increases in diseases. Low numbers turn into big numbers starting with little numbers to very big numbers later.

C’mon Chris, give me some credit! I understand exponential growth. It’s like 2, 4, 8, 16, 32, 64, 128 etc; not 23, 34, 27, 43, 70, 34, 17 etc. The latter is more like combing for cases with a rake to justify the hysteria.

Anyway, while I have you guys here, won’t you check out this video. It’s truly shocking. Are we witnessing an evolution of the denialism? First: absolutely, vaccines don’t cause autism!; next: ok ok, maybe vaccines can sometimes cause autism, but natural infections cause more autism, so vaccines prevent autism.

https://youtu.be/i-SltHOQwsE?si=9HnzTjbU4irmjLRk

I noticed that you did not deny being a sadistic child hater who loves to see kids suffer from vaccine preventable diseases.

“C’mon Chris, give me some credit! I understand exponential growth. It’s like 2, 4, 8, 16, 32, 64, 128 etc; not 23, 34, 27, 43, 70, 34, 17 etc”

Apparently Fred’s understanding of exponential growth begins and ends with Example 1 in the relevant chapter of an into to algebra class.

Hey, Freddy… remember measles in Texas started with two cases in January… now about five months out it is almost 700 total cases: https://www.nytimes.com/interactive/2025/health/measles-outbreak-map.html?unlocked_article_code=1.EU8._CVT.ENXSNlHfv1Tl&smid=url-share

Do enjoy the graph in that article.

Also do you remember what said here: https://www.respectfulinsolence.com/2025/03/04/has-rfk-jr-betrayed-the-antivax-movement/#comment-490847

You said it was petering out at just 13 more cases, and now you are very stoked that it is just “20” new cases. Silly boy.

So disappointed that no one here reacted to Dr Palmer’s death defying tightrope walk of saying it without saying it. Imagine the treachery of all these years keeping mum about regressive autism and potential interventions just to protect a secret. Shame.

Never heard of this “Dr. Palmer.” Post a link. And while you are at post the PubMed indexed study by reputable qualified researchers that the American MMR vaccine causes more harm than getting measles.

I never heard of this “Dr. Palmer.” Post a link of their work. Plus post a link to a PubMed indexed study by reputable qualified researchers that the present American MMR vaccine causes more harm than measles from the virus.

@Chris: Dr. Palmer is that Harvard-affiliated crank, erm, contrarian who claims that autism and ADHD are caused by junk food/poor diet rather than vaccines (or, you know, autistics and ADHDers having children in an increasingly unforgiving economy where they may never finish school or get or keep a job, or their mental health, without the support a diagnosis brings). He was on those macho wellness Youtubes that Fred likes to cite as “science” – Diary of a CEO, I believe. (This I stumbled on during the Youtubing I did once I found out last year I qualified as on the spectrum in today’s terms. Oh no, I’m a vaccine injured junk food junkie! /s Yet I still noticed that Fred, in rather poor form for
a ñn autism fearmonger, lowballed the statistics a tad down below: we’re 1 in 31 now.)

But I do suppose my typo in my above post is evidence enough of a brain addled by junkfood diet and vaccine injury. /s, putting it out here before anyone else can harp on it.

Fred What you mean with “regressive autism” ? Another antivax trope.

@Aarno: “Regressive autism” is not made up by antivaxers, it’s just something they overexploit by assuming that the notable change in presentation after birth clearly has to be an outside job (caused by an environmental exposure and not some recessive or mutant gene activating in toddlerhood). It’s nothing more or less than a collective term for cases where the symptoms/support needs increase after the age of a year and a half. There is no convincing evidence that this wasn’t destined to happen before birth – that in toddlerhood the genes responsible for autism in these kids start to express themselves.

Thank you. He sounds like someone who has never worked with autistic people. He probably does know about the International Society of Autism Research, which is finishing a large conference today. Which I just learned about today:

Reading that discombobulated mess of opinions of how those folks felt they were threatened or injured by Kennedy, I couldn’t help but wonder which group would be most crushed if he does pull the curtain. Would it be parents or loved ones of autistic kids who are forced to accept that their horrible fate was preventable? Would it be autistic individuals, especially high functions ones, robbed of their ‘identity’ and forced to accept that they’re disabled, and, again, knowing it was preventable?

Been thinking about Fred’s challenge here, about how a “high functioning autistic” would respond if it were proven by September that vaccines cause autism after all. First of all, many of us actually admit to being disabled. Secondly, we provaxers have this trope called “better autistic than dead.” Today’s estimated autism rate, 3.2%, is only slightly higher than the 1950 (pre- all vaccines other than smallpox) infant mortality rate of 2.9%. (Although, to be fair, I should subtract today’s infant mortality rate from that of 1950 to get the “excess mortality” back then – 2.9- 0.56 ~ 2.3% of infants died back then who wouldn’t die now. And this is just deaths of infants. It does not count all the children who died later, or became disabled – blind, deaf, intellectually disabled, or paralyzed – due to infectious disease. Another 0.2% of children died later due to measles, and another 0.2% became blind, deaf, or intellectually disabled. This gets us back up to 2.7% either dead or disabled without vaccines other than smallpox. With just another 0.5% we’re worse off than we are with autism (since a lot of these are deaths, mind you). We recover that 0.5 with polio-related paralysis alone (some of which leads to more deaths). And we haven’t gotten into mumps, rubella, flu, or any of the other things that killed or disabled kids more often then than now. So…if I sacrificed my and my daughter’s optimal neurological functioning (we are both low support needs autistics) so that more children may live, I am proud of that.

I was wondering (hoping) that Fred was being sarcastic, or just not good with the English language, but evidently he’s another deluded anti-vaxer who comes her to make fun of people because he’s unable to make a reasonable case for his beliefs. Very sad, for him and anyone his mistakes infect.

Do you really enjoy sick kids suffering enough to get hospital care?

Fred is an anti-vaxxer. Of course he enjoys children suffering.

“…Kennedy, I couldn’t help but wonder which group would be most crushed if he does pull the curtain.”

You are being delusional. Do you also have a worm in your brain?

Not enough kids are vaccinated. This is herd immunity.
I notice that you and lying Kennedy know results before the investigation. Thix is why one suspects it will be fake

It actually supports my point when I cite Beres’ description of soft eugenics as being more of a shrug than a battle cry.

“it won’t just be measles where reality will collide with fantasy…”

If reality collides with fantasy in a forest and the CDC isn’t there to hear it or is forced to issue false reports downplaying it, does it make a sound?

“it won’t just be measles where reality will collide with fantasy…”

If reality collides with fantasy in a forest and the CDC isn’t there to hear it or is forced to issue false reports downplaying it, does it make a sound?

The couple, who are Mennonites, believe their daughter’s death was the will of God.

Hmmm. Something something joke about a flood, a praying family, and a man, a boat, and finally a helicopter.

The parents would understandably look for something to hold onto that could assuage their guilt.

But as you point out, the underlying current of “the healthy won’t be harmed by this” and the victim blaming are so jarring.

It all seems to boil down to some people think teleologically, and fundamentally cannot handle the concept that sometimes, shit just happens. (This is, of course, a flaw that everybody has to some degree, but some people are better at overriding it than others.)

Such people are, of course, courted by grifters of all stripes because they’re easy to manipulate. And not just medical ones… I know I’ve heard from lawyers that defense lawyers in rape cases often like having women on the jury, because women (especially well-off women) can be more susceptible to victim-shaming/blaming as long as they can convince themselves that they wouldn’t do anything as stupid/slutty as the victim did and thus they wouldn’t have fallen prey to what happened.

And really, that sort of victim blaming isn’t as much different from some of the MAHA ‘wellness’ here as people might like to think.

Very good point. Wellness itself really kicked off among rich/well-off and ostensibly well-educated people, originally, precisely because of this sense that, if you’ve gotten so far and done so well, surely you can – must – be able to buy and/or work and/or invent your way out of every limitation that remains. Which dovetails so well with the current form of capitalism.

Only 20 freaking cases!! What’s up with this freaking virus?! When are we going to see the explosive, exponential growth that Chris expects? It’s not looking good, and especially with the weather getting warmer. Time is also not on our side with that ‘idiot’ Health Secretary stirring up shit!

Screw you, Cassidy! Screw you to hell!!

https://www.dshs.texas.gov/news-alerts/measles-outbreak-2025

Expecting an antivaxxer to be able to count is like expecting one to not spasm with joy at the thought of children dying. Remember that freak we used to get here who found smallpox scars alluring, and the women who giggled at children dying in agony? Fred is of their ilk

If a childrens are dying for measles., it is “freaking few”. If it were “vaccine injury” it would be a catastrophe beyond all imagination, both for you and lying Kennedy.

Aarno, don’t get me wrong. All child deaths are tragic. This includes whether they are caused by vaccines, and -yes!- medical errors.

Given your comments Fred, there is no reason at all to believe you when you say “all child deaths are tragic “. If you really believed that you wouldn’t be such a fervent spouter of lies about the “dangers” of vaccines.

Look carefully at what he said without directly saying: basically that no child can actually die of the measles, only of vaccines or medical errors. (Remember this trope from Covid?) He will not be convinced that any child ever died of a natural cause until/unless sll vaccines and non-natural medicines (and probably foods too) are eliminated. He does not realize or will not admit that centuries ago, before we had any of these things, child deaths of natural causes were far more common than they are now. Ir if he admits it, he will say it was all due to starvation and nutritional deficiencies, which are now far less common – thanks to technology. You cannot convince these people. They will shift the goalposts as far as the eye can see.

I got that Fred crafted words to avoid saying kids dying from measles. My point is even if the discussion was about kids dying in a school shooting Fred’s comments would somehow blame them for being there and there would not be any sign of sadness for the deaths. Just as with most anti-vaxxers concern about health is contained in an ellipsoid about their own bodies: statements of concern for others are simply bad performance art.

@ldw: If it were school shootings, they’d be blamed on vaccine-induced autism.

Exactly what Orac would have predicted, I suppose. The article said it is in the name of religious freedom of the Mennonites, but that they don’t actually have a religious objection to the vaccine. Also this, from the article:
“Decades of research have turned up no miracle treatment for the measles virus, which can cause pneumonia, making it difficult for patients to get oxygen into their lungs, and brain swelling, which can cause blindness, deafness and intellectual disabilities.”

Antivax is allegedly all about parents being afraid of having disabled children (which maybe they wouldn’t be if disability supports were cheaper and better!), and yet wild measles virus can produce disabled children just as easily as dead ones. And, of course, disability associated with another virus in the shot, Rubella, can include the dreaded high support needs autism in cases of exposure before birth.

But no, it’s not really about preventing disability, it’s about belonging to a tribe that insists that infectious diseases cannot harm those who are truly worthy because they’re natural. If we link to testimonies of autistics who were raised antivax, the trolls would just say (a) they’re autistic because of junk food or flouride or something and (b) they’re obviously low support needs and probably would have been high support needs if they’d been vaxed. Arguing with trolls is boring now that I can basically anticipate the kinds of arguments they make.

Antivax is allegedly all about parents being afraid of having disabled children (which maybe they wouldn’t be if disability supports were cheaper and better!), and yet wild measles virus can produce disabled children just as easily as dead ones. And, of course, disability associated with another virus in the shot, Rubella, can include the dreaded high support needs autism in cases of exposure before birth.

Strictly speaking, this apparent ‘contradiction’ does not stem from ideological bent as much as straight numbers. We ‘antivaxers’ feel that a scattering of VPD’s injuries, including deaths, does not justify 1 in 34 disabilities, and many serious. This starting point may lead to hardened ideology, but who wants to challenge the starting point?

Except, when we ask you to stump up proof that vaccines are causing these things, the response is either crickets, or “evidence” form dodgy sources, or evidence that turns out not to say what you claim.

Mr. Kennedy is an idiot. Lets spend a lot of money to cure something mostly harmless (at least in his opinion) instead of just preventing it by a working vaccine with a good safety record.
Let’s not try to fireproof things and prevent forest fires, but invest more money in better ways to put fires out.

A wee bit ironic, coming from the crowd that claims physicians don’t want to prevent disease, just profit from prescribing drugs to treat it.

Vaccines get at the root cause, but sshhh! don’t tell them that.

No,the root cause of all disease is always and only unhealthy living. Healthty living people never get ill, never get vaccine preventable diseases or any other health problems. They also never get involved in accidents and will never die. /s

In Heather Cox Richardson’s May 4th “Letter from an American” she talks about how Kennedy is a germ theory denier and holds to a disproven and somewhat niche “idea” about the cause of disease: “terrain theory”.
Of all of the explanations of disease (supported and not), “terrain theory” is the one that aligns most closely with eugenics.
Kennedy got to where he is because entirely too many people think that anyone with the name “Kennedy” must be something special, and RFKjr is clearly high on his own supply to think that he is somehow destined by nature or god to be better than the rest of us, when he’s really just someone who, without the family name and money, would probably be living under a bridge.

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