RFK, Jr, and Vaccines

Robert F Kennedy, Jr, the HHS Secretary nominee, has a strong reputation as an anti-vaccine…person. That reputation may or may not be justified; he is skeptical of them. Related to that, his reputation for opposing to GLP-1 drugs also may or may not be justified. However, taking the particular case of those GLP-1 drugs, Kennedy’s actual position is obscured by this bit of journalist editorial foolishness:

[H]e thinks Americans should eat healthier and exercise to lose weight. That’s fine as far as it goes. But neither exercise nor dietary changes will cure diabetes, and hormonal changes make it difficult for severely obese patients to lose weight without medical interventions.

Both diet and exercise are Critical Items for the health of all of us, and particularly so for diabetics. These won’t cure diabetes? I’m aware of no one who claims they do. There is, though, a rapidly growing anecdotal body of evidence that changes in diet—particularly regarding carbohydrate intake in general and grains more specifically—do in fact beneficially alter individuals’ hormonal environment and mitigate, sometimes eliminate, the effects of diabetes. Those especially morbidly obese may well still need drugs, potentially of the GLP-1 variety, after having improved their diet and exercise regimens.

Or reducing/eliminating carbs, including grains, may not have any general population effect. Government bureaucrats with medical degrees need to get out of the way of science and let the research proceed to confirmation or refutation.

Is diabetes curable by diet and exercise? Probably not, but the metabolic health outcomes cannot be ignored by serious medically-oriented scientists. On the other hand, journalist editorial writings, especially when done completely absent any presentation of data supporting editors’ claims, can be ignored. And yes, that includes editors’ skepticism regarding political nominees whose positions might differ from the editors’.

“Numbers Under the Hood”

David Plouffe is a highly talented politician and political advisor, and he was a top aide to the Harris campaign. He says the cardinal sin of the Progressive-Democratic Party (my term, not Plouffe’s) this time around was in not having a primary to select a replacement for Joe Biden in the just concluded campaign and election.

Leave aside his eliding the fact that Party already had eschewed primaries early last winter when they actively blocked primary challengers to Biden, allowing even a token challenge only ‘way late in the primary season.

The more important part of Plouffe’s claim is this:

When I got in, it was the first time I saw the actual numbers under the hood. … [D]emographically, young voters across the board—Hispanic voters, Black voters, Asian voters—were in really terrible shape.

Young voters, those Hispanic, black, and Asian voters were in terrible shape. That was because they were switching in large percentages, and in smaller but significant percentages, away from Party and toward the Republican Party and Republican and Conservative candidates.

What utter oblivious arrogance. What deep contempt for us American citizens. Wait, a reader might say. He meant the polling figures, that’s what he meant.

No, he didn’t. Words are this talented politician’s and advisor’s stock in trade. If he’d meant that, he would have said that. Instead, he said what he said, and that’s what he so clearly meant.

This is Party’s arrogant contempt for us, and we need to be thoroughly wary of it in the next several elections.

Absolutely

Regarding Progressive-Democrat President Joe Biden’s nakedly hypocritical pardon of his son for all crimes committed or maybe committed from 2014 forward to just a couple days ago, there’s an expectation that this closes the books on the Hunter Biden situation, and all investigations are expected to be ended forthwith.

One Senator, though, demurs from that last bit. Soon-to-be Senate Majority Leader John Thune (SD):

President Biden repeatedly lied to the American people. This pardon, and the repeated lies the president and his administration told about it, will be a shameful bookend to President Biden’s tenure in office, and I would be supportive of Congress continuing to look into allegations of corrupt behavior[.]

It’s good to see at least one politician in a position of influence who thinks like I do.

A Bureaucrat with an MD…

chimes in. Robert Califf, MD, two-term US FDA Commissioner, and long-time government bureaucrat wants the government’s bureaucracy left alone.

As the world’s largest bureaucracy, the US government has ample room for improvement.

Awfully decent of the old boy to acknowledge some minor issues. Then he writes this in his Letter:

…a broad call for support from the workforce would be much more likely to succeed than castigating the workers who have chosen to serve the American public. Instead of suggesting “large-scale firings” and asserting that “if federal employees don’t want to show up, American taxpayers shouldn’t pay them for the Covid-era privilege of staying home,” Messrs Musk and Ramaswamy would be well-served to inspire the workforce to work with them to become more efficient.

This is an example of why bureaucrats who happen to have medical degrees must have their words taken only skeptically.

No one is castigating the workers; Musk and Ramaswamy instead are insisting that those let go not be stigmatized by that while insisting they be given generous severance packages and plenty of notice to find other work before their government jobs end.

Government isn’t the only place employees need to resume working from workplace offices or cubicles—corporate America also is waking up to the need for in-place, face-to-face interactions and collaborations. It’s entirely appropriate to require government employees work full time in the offices and cubicles alongside their colleagues. Those who resist are those resisting the teaming and collaboration that is so necessary to work and so much more effectively done when done in person, and those persons are reducing the efficiency and limiting the potential of their teams. They should be let go.

On that matter of efficiency, this is best achieved with a smaller workforce operating under narrower scoped of responsibilities, tasks, and goals.

Califf is a senior bureaucrat in a government “medical” bureaucracy looking to preserve bureaucrats’ job. Nothing more.

Chopping Blocks for DOGE

There are several such in the form of overlapping and shared responsibilities across a variety Executive Branch Departments and Agencies.

Three that come to mind are anti-trust enforcement, which is shared between DoJ and FTC, among others; environmental concerns, which are shared among EPA, Interior, Energy, and DoJ among others; and energy development/production, which is shared among Interior, Energy, and EPA, among others.

There are many more.

What DOGE needs to recommend and what President Donald Trump (R) and Congress (because much of this must be done statutorily) need to do is designate one Department/Agency in each of those areas as the Responsible Department/Agency, remove all responsibility, including the Civil Service positions and authority to consult “outside experts” from the other entities, and return the associated personnel to the private sector (no reallocating them to other areas of the Federal government). This both streamlines government and reduces its size by eliminating the jobs altogether.

With regard to DoJ in particular, that Department’s role in any of this should be limited to bringing cases to court; those personnel are enforcers of existing law, not definers of what the law is or should be (though, in the latter case, they certainly can recommend to Congress).

Another target rich environment for DOGE is entirely within the Pentagon. Defense systems development and acquisition is entirely too byzantine, and that labyrinth contributes in large part to the excessive amount of time—years—it takes the Pentagon to develop a system from an initial idea and to the excessive amount of time—more years—to acquire the systems in operationally useful numbers, once a decision to acquire is made. Those interminable delays also vastly increase the costs of both development and acquisition. Here, too, the Responsible Office needs to be designated, and the number of bureaucrats required to sign off (and the number permitted to sign off) need to be reduced, with the others (particularly the erstwhile required signers) returned to the private sector.

The Pentagon moves need especially to be centered on reducing the civilian workforce and on increasing the role and the responsibility of the Combatant, Transportation, and Materiel Commands, with the Combatant commanders being the sole definers of their requirements and numbers, Transportation and Materiel being the definers of the requirements and numbers needed to satisfy the Combatants’ requirements.

The moves and cuts need to be draconian, too; half measures will only perpetuate the current waste and opportunities for waste.