The Autistic Self Advocacy Network urges the Senate not to confirm Robert F. Kennedy Jr. as Secretary of the Department of Health and Human Services. Kennedy’s long record of spreading misinformation about autism in particular and public health in general makes him a disastrous choice for this role. His opposition to life-saving vaccines, his belief that HIV may not cause AIDS, his desire to increase the use of quack autism “treatments” and his comments about putting people taking psychiatric medication in labor camps should all be immediately disqualifying. Autistic people, the disability community, and the nation’s public health will all suffer if he is confirmed.
Vaccines save lives
Robert F. Kennedy Jr. is the founder of Children’s Health Defense, a prominent anti-vaccine group. He has claimed that no vaccine has been proven safe and effective, that the recommended vaccine schedule for children is dangerous, and that “autism does come from vaccines.” He has also fought against COVID-19 vaccination, falsely calling an early COVID vaccine “the deadliest vaccine ever made.”
Vaccines are safe and effective. Vaccines do not cause autism. The idea that the measles, mumps and rubella (MMR) vaccine is linked to autism comes from one fraudulent 1998 publication claiming that the vaccine had caused autistic traits in 12 children. The man responsible for this publication, Andrew Wakefield, used unethical methods and failed to disclose financial conflicts of interest. The paper did not give enough evidence for its claim that the MMR vaccine could cause autism. It was later retracted by the journal that published it, and Wakefield had his medical license revoked.
In spite of the fraudulent origins of the idea that vaccines cause autism, and in spite of decades of replicable research proving that this is not true, some people, like Kennedy, continue to perpetuate the myth. These lies do very real harm to the autistic community. Kennedy has described autistic people in insulting ways meant to inspire fear, saying that “their brain is gone” and that the purported effects of vaccination are “a Holocaust.” By working to prevent childhood vaccination, he effectively communicates the message that living as an autistic person is a worse fate than dying of measles or pertussis.
The anti-vaccine movement has led to a wave of fake “autism cures,” many of which have very real health risks. Kennedy recently promoted two of these fake cures when he accused the FDA of suppressing “hyperbaric therapies, chelating compounds.” Hyperbaric therapy, a treatment for decompression sickness in divers, has been promoted as a fake autism cure in spite of a complete lack of evidence and associated health risks. Chelation, a treatment for heavy metal poisoning, is another fake cure, and its off-label use for autism has been associated with at least one death.
Robert F. Kennedy Jr. and his allies claim that autistic people did not exist in his youth and that “I have never in my life seen a man my age with full-blown autism.” The idea that autistic people of Kennedy’s age (70) do not exist is not true. Autistic people have always been here, but before widespread autism diagnosis, we either went undiagnosed, or received different diagnoses than would be used today -- for example, the outdated diagnosis of “childhood schizophrenia” for autism, or diagnosing people who today would only have an autism diagnosis with intellectual disability. Autistic people in Kennedy’s generation were all too often institutionalized or incarcerated. Even if Kennedy is telling the truth about not seeing us, that does not mean we were not there.
Of course, Kennedy’s lies about vaccines do not just hurt autistic people. Kennedy and his nonprofit played an active role in a recent measles outbreak in American Samoa, spreading vaccine misinformation until the vaccination rate dropped low enough that 5,700 people were infected with measles, and 83 people died. Kennedy has also made false claims about COVID-19 vaccine trials and about the Vaccine Adverse Event Reporting System, blaming unrelated deaths on COVID vaccinations. Anti-vaccine misinformation like that promoted by Kennedy’s group has led to a reduced rate of childhood vaccinations in the United States since the beginning of the COVID-19 pandemic.
Lies about public health endanger everyone
Kennedy has taken other stances on public health, also based on misinformation, that disproportionately harm disabled people. He has opposed COVID-19 vaccination when people with intellectual and developmental disabilities (IDD) are at risk for worse outcomes if we get COVID. He wants to take fluoride out of drinking water, making everyone’s dental health worse, when people with IDD have worse dental health outcomes to begin with. He opposes the use of medication for ADHD in spite of research demonstrating that these medications are safe and can prevent deaths among people who take them. He has falsely linked antidepressants, which for many people are life-saving medication, to mass shootings. None of these beliefs are based on evidence, and all of them would make terrible public health policy.
Kennedy’s fringe beliefs have led him to propose some truly disturbing disability policies. Notably, he has discussed sending people who struggle with addiction or take psychiatric medications to “wellness farms,” where they could labor for several years and would be forbidden to use cell phones. In the autism community, we have seen farms promoted as a housing solution before, and we recognize this idea for what it is: a proposal to institutionalize the 16% of Americans who take psychiatric medication and the 16% of Americans who struggle with substance use.
Kennedy’s commitment to spreading misinformation about public health extends beyond developmental disability. He claims that drinking raw milk has health benefits at a time when bird flu is spreading and foodborne diseases like listeria are becoming more common. He has suggested that AIDS may not be caused by HIV, and has participated in transphobic fear-mongering by claiming that chemicals in drinking water may change children’s gender identity. Once again, there is no evidence for any of these beliefs.
We should never take “a break” from public health
At an anti-vaccine conference last year, Kennedy said that if he became President, he would tell the National Institutes of Health, “Thank you for public service. We’re going to give infectious disease a break for about eight years.” Instead, he pledged to focus NIH’s efforts entirely on chronic disease like diabetes. Pivoting government research away from infectious diseases during the ongoing COVID-19 pandemic would have disastrous consequences. And Kennedy’s claim that he will focus on chronic disease is short-sighted — chronic disease is often caused or worsened by infectious diseases like COVID. Diseases don’t take a break from threatening our lives and health, and we shouldn’t take a break from trying to prevent and mitigate diseases.
The worst public health harms in US history have been inflicted on marginalized communities when our public health systems “took a break” from protecting us. In the same way, marginalized communities would bear the brunt of a decision to abandon HHS’ responsibility to study infectious diseases.
Robert F. Kennedy Jr. promotes policies that will actively harm the health of all Americans. He intends to twist the federal agencies in charge of our health into engines of misinformation. We are dismayed by his nomination not only as self-advocates and professionals in health policy, but also as human beings who want our government to safeguard our health and embrace science. The Senate must not confirm Kennedy as Secretary of HHS.
