[Senate Hearing 119-21]
[From the U.S. Government Publishing Office]


                                                         S. Hrg. 119-21

                  NOMINATION OF ROBERT F. KENNEDY, JR.
                  TO SERVE AS SECRETARY OF HEALTH AND
                             HUMAN SERVICES

=======================================================================

                                HEARING

                                OF THE

                    COMMITTEE ON HEALTH, EDUCATION,
                          LABOR, AND PENSIONS

                          UNITED STATES SENATE

                    ONE HUNDRED NINETEENTH CONGRESS

                             FIRST SESSION

                                   ON

      EXAMINING THE NOMINATION OF ROBERT F. KENNEDY, JR., OF 
    CALIFORNIA, TO BE SECRETARY OF HEALTH AND HUMAN SERVICES

                               __________

                            JANUARY 30, 2025

                               __________

 Printed for the use of the Committee on Health, Education, Labor, and 
                                Pensions
                                
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          COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS

                BILL CASSIDY, M.D., Louisiana, Chairman
                
RAND PAUL, M.D., Kentucky            BERNIE SANDERS (I), Vermont, 
SUSAN M. COLLINS, Maine                  Ranking Member
LISA MURKOWSKI, Alaska               PATTY MURRAY, Washington
MARKWAYNE MULLIN, Oklahoma           TAMMY BALDWIN, Wisconsin
ROGER MARSHALL, M.D., Kansas         CHRISTOPHER MURPHY, Connecticut
TIM SCOTT, South Carolina            TIM KAINE, Virginia
JOSH HAWLEY, Missouri                MAGGIE HASSAN, New Hampshire
TOMMY TUBERVILLE, Alabama            JOHN HICKENLOOPER, Colorado
JIM BANKS, Indiana                   ED MARKEY, Massachusetts
JON HUSTED, Ohio                     ANDY KIM, New Jersey
ASHLEY MOODY, Florida                LISA BLUNT ROCHESTER, Delaware
                                     ANGELA ALSOBROOKS, Maryland

                Amanda Lincoln, Majority Staff Director
           Danielle Janowski, Majority Deputy Staff Director
                Warren Gunnels, Minority Staff Director
              Bill Dauster, Minority Deputy Staff Director
                           
                           C O N T E N T S

                              ----------                              

                               STATEMENTS

                       THURSDAY, JANUARY 30, 2025

                                                                   Page

                           Committee Members

Cassidy, Hon. Bill, Chairman, Committee on Health, Education, 
  Labor, and Pensions, Opening statement.........................     1
Sanders, Hon. Bernie, Ranking Member, U.S. Senator from the State 
  of Vermont, Opening statement..................................     3

                               Witnesses

Kennedy, Robert F., Jr., Los Angeles, CA.........................     4
    Prepared statement...........................................     7

                          ADDITIONAL MATERIAL

Statements, articles, publications, letters, etc.
Murray, Hon. Patty:
    HPV Tweet for the Record.....................................    60
    New study: Vaccine Manufacturers and FDA Regulators Used 
      Statistical Gimmicks to Hide Risks of HPV Vaccines, by 
      Robert F. Kennedy, Jr......................................    61
Kaine, Hon. Tim:
    Robert F. Kennedy, Jr.'s X Posting on 9/11...................    68
    Has Gardasil Really Eliminated Cervical Cancer in Australia?, 
      by Robert F. Kennedy, Jr., October 8, 2019.................    69
    Effects of HPV Vaccination on the Development of HPV-Related 
      Cancers: A Retrospective Analysis of a United States-Based 
      Cohort.....................................................    74
    Impact of a Population-Based HPV Vaccination Program on 
      Cervical Abnormalities: a Data Linkage Study...............    75
    Impact of HPV Vaccination and Cervical Screening on Cervical 
      Cancer Elimination: a Comparative Modelling Analysis in 78 
      Low-Income and Lower-Middle-Income Countries, The Lancet...    87
    The Effects of the National HPV Vaccination Programme in 
      England, UK, on Cervical Cancer and Grade 3 Cervical 
      Intraepithelial Neoplasia Incidence: a Register-Based 
      Observational Study, Lancet Article........................   103
    Australian Data: Cancer Epidemic in Gardasil Girls, by Robert 
      F. Kennedy, Jr.............................................   112
    Invasive Cervical Cancer Incidence Following Bivalent Human 
      Papillomavirus Vaccination: a Population-Based 
      Observational Study of Age at Immunization, Dose, and 
      Deprivation, JNCI: Journal of the National Cancer Institute   113
    HPV Vaccination and the Risk of Invasive Cervical Cancer, The 
      New England Journal of Medicine............................   122
Murphy, Hon. Christopher:
    Transcripts of RFK Jr. Speeches at AutismOne.................   131
    Children's Health Defense November 2019, Letter for the 
      Record.....................................................   133
Markey, Hon. Ed:
    Leading Samoa Medical Freedom Hero Goes Free After Court Case 
      Dismissed, by Robert F. Kennedy, Jr........................   137
Moody, Hon. Ashley:
    Third Presentment of the Twenty-First Statewide Grand Jury 
      Regarding Unaccompanied Alien Children (UAC), in the 
      Supreme Court of Florida...................................   147
    Fourth Presentment of the Twenty-First Statewide Grand Jury 
      Regarding Unaccompanied Alien Children (UAC), in the 
      Supreme Court of Florida...................................   193
    Final Report of the Twenty-Second Statewide Grand Jury, The 
      State of Florida...........................................   218
Alsobrooks, Hon. Angela:
    RFK Jr. Campaign Uses HHS Freeze as a Fundraising Tool, by 
      Isabella Cueto and Rachel Cohrs Zhang......................   362
Sanders, Hon. Bernie:
    Autism and Vaccines References...............................   364

 
                  NOMINATION OF ROBERT F. KENNEDY, JR.
                  TO SERVE AS SECRETARY OF HEALTH AND
                             HUMAN SERVICES

                              ----------                              


                       Thursday, January 30, 2025

                                       U.S. Senate,
       Committee on Health, Education, Labor, and Pensions,
                                                    Washington, DC.

    The Committee met, pursuant to notice, at 10 a.m., in room 
562, Dirksen Senate Office Building, Hon. Bill Cassidy, 
Chairman of the Committee, presiding.

    Present: Senators Cassidy [presiding], Paul, Collins, 
Murkowski, Mullin, Marshall, Scott, Hawley, Tuberville, Banks, 
Husted, Moody, Sanders, Murray, Baldwin, Murphy, Kaine, Hassan, 
Hickenlooper, Markey, Kim, Blunt Rochester, and Alsobrooks.

                  OPENING STATEMENT OF SENATOR CASSIDY

    The Chair. I think you all have about every angle you can 
get of the witness, so I am going to call us to order. I thank 
everybody for being here. Bobby, I see your family behind you, 
and I like your family except for the nephew who is a Florida 
Gator. We will let that go.

    The Senate Committee on Health, Education, Labor, and 
Pensions will please come to order. Again, Senator Kennedy, 
Bobby Kennedy, thank you for appearing before the Committee and 
for your willingness to serve our Country, as your family has 
served our Country.

    You and I have talked at length about a variety of issues 
impacting Americans' health. These have been candid 
conversations, and I very much appreciate your willingness to 
engage.

    There are many things you and I agree on. We are in total 
agreement on the need to address ultra-processed foods to 
reduce obesity, and obesity, of course, the leading cause of 
chronic disease and, therefore, shorter lifespans. And this 
will be a priority in this Committee, and I look forward to 
collaborating with you, if you are confirmed.

    But it is no secret that I have some reservations about 
your past positions on vaccines and a couple other issues.

    We know a lot about you. I will tell you a little bit about 
myself. Before I entered politics or even thought about running 
for office I practiced medicine for 30 years, working in public 
hospitals in California and Louisiana, specializing in liver 
disease, caring for those who otherwise would not have had a 
specialist, if you will dedicating my life to saving lives. 
That is being a doctor.

    Now, there was a moment in my career that really informs me 
now. In the early 2000's, I was loading a patient onto an air 
ambulance, an 18-year-old young woman, to go to get a liver 
transplant from acute liver failure due to hepatitis B. Barely 
an adult, her entire life ahead of her, and all the hopes and 
dreams she might want the children, the grandchildren, the 
future generations wiped away if she did not get to the LSU 
hospital in Shreveport for an emergency transplant.

    Now, the transplant, an invasive, quarter-of-a-million-
dollar surgery, that had a 5 to 10 percent mortality rate, but 
even if she survived would leave her with a liver transplant 
and hospital bills every year of $50,000. And as she took off, 
it was the worst day of my medical career, because I thought, 
$50 of vaccines could have prevented this all.

    That was an inflection point in my career. And since then, 
I have tried to do everything I can to make sure I never have 
to speak to another parent about their child dying due to a 
vaccine-preventable disease.

    I worked with community and business leaders to form a 
public-private partnership in the Capital Region of Louisiana. 
We vaccinated 36,000 children for hepatitis B. And since the 
CDC and the ACIP have recommended universal vaccination for 
children, the number of acute hepatitis B cases in our Country 
has declined by almost 90 percent.

    As a physician who has been involved in immunization 
programs, I have seen the benefits of vaccinations. I know they 
save lives. I know they are a crucial part of keeping our 
Nation healthy.

    Now Bobby, I have learned you have got a tremendous 
following. My phone blows up with people who really follow you. 
And there are many who trust you more than they trust their own 
physician. And so the question I need to have answered is what 
will you do with that trust?

    Whether it is justified or not, and you may not want this 
to be the case, but I have constituents who partly credit you 
for their decision to not vaccinate their child. Now that is a 
real conversation. And I am hearing from them, and they want 
you confirmed.

    Now, you are going to tell us this week, as you did--I 
think you will tell us today, as you did in the Finance 
Committee yesterday--that you are pro-vaccine. So what will you 
tell the American mother? Will you tell her to vaccinate her 
child or to not, or to have a conversation with her doctor, but 
for many that will be permission to not vaccinate their child. 
We know that to be the case.

    Your past of undermining confidence in vaccines, with 
unfounded or misleading arguments, concerns me. Can I trust 
that is now in the past? Can data and information change your 
opinion, or will you only look for data supporting a 
predetermined conclusion? This is imperative. You have the 
responsibility to restore trust in our public health 
institutions in this position you have.

    Now, let's turn a little political. I want President Trump 
to be successful. It is important for our Country. Any action 
you take as HHS Secretary will shape his legacy, and we both 
want that legacy to be positive.

    Thank you for coming before the Committee, for being 
willing to serve, and I look forward to today's conversation.

    With that I yield to my Ranking Member, Senator Sanders.

                  OPENING STATEMENT OF SENATOR SANDERS

    Senator Sanders. Thank you, Senator Cassidy, Mr. Chairman, 
and Mr. Kennedy, thank you for being with us.

    I am going to discuss later the issue of vaccines, which 
Senator Cassidy raised and is of concern, I think, for all of 
us. But before I go there, I wanted to congratulate you, in a 
sense, for the phrase ``Make America Healthy Again.'' I think 
that is a cry that all of us, a goal that all of us share, 
because, as you have indicated, we are a very unhealthy 
society.

    We are the richest country in the history of the world, and 
yet we rank far below every other major country in terms of our 
life expectancy. That is outrageous. To me, equally outrageous 
is that if you are working class in this country you are going 
to live 6 or 7 years shorter lives than if you are rich. In 
America today, 68,000 people die every year because they cannot 
get to a doctor. They cannot afford to get to a doctor. You 
pointed out yesterday the outrageous costs of health care in 
America, two or three times more than other industrialized 
countries are paying.

    Unbelievably, in this country, hundreds of thousands of 
people deal with cancer, struggling for their lives. You know 
what happens to them? They go bankrupt. They deplete their life 
savings.

    In other words, when we talk about making America healthy, 
we have got to talk about a broken, corrupt health care system.

    Your uncle, President Kennedy, and your father, Bobby 
Kennedy, a great Senator from New York, your uncle sat right 
now where Senator Cassidy is sitting, Chairman of this 
Committee. All of them did what I think is the right thing. 
They said that health care is a human right. They looked all 
over the world, and saw every other major country guaranteeing 
health care to all people, whether they are rich or poor, young 
or old. So I am not quite sure how we can move to making 
America healthy again unless we have the guts to take on the 
insurance companies and the drug companies and guarantee health 
care to all people. I will be asking you a question about that.

    Lowering the cost of prescription drugs. How do you make 
America healthy again if one out of four people in this country 
cannot afford the price of prescription drugs, which is far 
higher in America than any other country on Earth?

    Under President Biden, we made some progress, and this 
Committee played an active role in having Medicare begin, for 
the first time, negotiating the price of drugs that we are 
paying. And I am going to ask you whether or not you will 
demand that President Trump follow what we accomplished here.

    We are the only major country on Earth not to guarantee 
paid family and medical leave. Mr. Kennedy, there are women 
today who are having babies, and they have got to go back to 
work in a week or two because they have no guaranteed paid 
family and medical leave. How do you have a healthy country 
when women and men get fired because they stay home taking care 
of their sick kids? That is not making America healthy again.

    I would go a little beyond the jurisdiction of Health and 
Human Services, but I think it is important. If you are working 
50 or 60 hours a week making 13, 14 bucks an hour, which is 
what millions of Americans are making, can you be healthy? Will 
you join those of us who think that, in the United States, the 
wealthiest country on Earth, people that work 40 hours a week 
should not live in poverty? We have got to raise the minimum 
wage to a living wage.

    Lastly, and we discussed this very briefly, President Trump 
believes that climate change is a hoax. I happen to believe, 
and most Americans believe, and virtually the entire scientific 
community believes that it is an existential threat to this 
planet. I do not know how you are going to make America healthy 
again or keep the world healthy when you have massive heat 
waves, droughts, floods, and extreme weather disturbances. 
Louisiana had them. Vermont had them. That is not keeping 
America healthy.

    Now, that is not within the jurisdiction of HHS, but I 
surely hope that you will, if you are confirmed, demand that 
President Trump change his position and work with those of us 
who are trying to transform our energy system, and in fact, 
keep America healthy by addressing the crisis of climate 
change.

    Thank you, Mr. Chairman.

    The Chair. Thank you, Senator Sanders. And now I would like 
to welcome our nominee, Mr. Robert F. Kennedy, Jr. Mr. Kennedy 
has a long career as an attorney and advocate for various 
health and environmental concerns. He has championed a range of 
issues like healthy foods and efforts to fight chronic disease, 
while calling for greater transparency and accountability in 
our public health infrastructure.

    Mr. Kennedy has an important opportunity to reform the 
Department and to restore trust in our Federal health agencies. 
I look forward to hearing more about his policy priorities and 
his plans to advance President Trump's agenda to Make America 
Healthy Again.

    I thank him for joining us today, and I will now turn over 
to Mr. Kennedy to introduce himself.

      STATEMENT OF ROBERT F. KENNEDY, JR., LOS ANGELES, CA

    Mr. Kennedy. Thank you, Chairman Cassidy. Thank you, 
Senator Sanders, Ranking Member Sanders, Senators, and other 
Members of this distinguished Committee.

    Cheryl and I were heartbroken last night to learn the 
tragic accident that took so many of our fellow Americans, 
including our servicemembers. We are in an apartment where we 
were able to see the rescue operations from our window. Senator 
Marshall, please know that I will continue to pray for you as I 
texted you last night, for those who were lost who called your 
state home, as well as Senators Kaine and Alsobrooks. We 
appreciate the first responders and local officials who are 
working so hard. May God continue to be with us, and all who 
are impacted, and those who continue to help with the recovery.

    I am humbled to be sitting here today as President Trump's 
nominee to oversee the U.S. Department of Health and Human 
Services. I want to thank President Trump for entrusting me to 
deliver on his promise to make America healthy again.

    I am grateful to have my family here once more with me. I 
want to introduce my wife Cheryl, my daughter Kick, my son 
Bobby, my daughter-in-law, Amaryllis, and my nephew, Jackson 
Hines. I want to thank them as well as the many members of my 
large extended family, for the love that they have so 
generously shared.

    I want to particularly thank you, Mr. Chairman, for the 
time that you have spent with me and the times we have talked 
in person and by phone. I greatly admire your passion for 
public health and your commitment to science, and this 
Committee is blessed to have a medical doctor at the helm and 
two other medical doctors, Dr. Marshall and Dr. Rand, on the 
Committee.

    I explained yesterday at the Finance Committee that my 
journey into the issue of health began with my career as an 
environmental lawyer. Working with hunters and fishermen and 
mothers in the communities and small towns along the Hudson 
River, I learned that human health and environmental health are 
intertwined and inseparable. The same chemicals that kill fish 
also sicken human beings.

    Today, Americans' overall health is in a grievous 
condition. Over 70 percent of adults and a third of children 
are overweight or obese. Diabetes is ten times more prevalent 
than in 1960. Cancer among young people is rising by 1 or 2 
percent per year. Autoimmune diseases, neurodevelopmental 
disorders, asthma, Alzheimer's, ADHD, depression, addiction, 
and a host of other physical and mental health conditions are 
all on the rise.

    The United States has worse health than any other developed 
nation, yet we spend more on health care, sometimes double, 
sometimes triple, as other comparable nations. Last year we 
spent $4.8 trillion, not counting the indirect costs from 
missed work. That is almost a fifth of GDP. It is tantamount to 
a 20 percent tax on the entire economy. No wonder America has 
trouble competing with countries that pay a third of what we do 
for our health care, and yet have a healthier workforce.

    But I do not want to make this too much about money. It is 
the human tragedy that moves us to care. President Trump has 
promised to resurrect America's global strength and our 
leadership and to restore the American Dream. He understands 
that we cannot be a strong nation unless we are first a healthy 
people.

    A healthy person has a thousand dreams. A sick person has 
only one. Today, over half of our countrymen and women are 
chronically ill and have only one dream. When I met with 
President Trump last summer, I discovered that he has more than 
just ``concern'' for this tragic situation, but genuine care. 
President Trump has committed to restoring the American Dream, 
and 77 million Americans delivered a mandate to do just that, 
due in part to his embrace and elevation of the Make America 
Healthy Again movement. That movement, led largely by MAHA moms 
from every state, many of whom have traveled to be here 
yesterday and today, Senators, this is one of the most powerful 
and transcendent movement I have ever seen. The nation is ready 
for change and recognizes that this is a unique inflection 
moment. I have promised President Trump that if confirmed I 
will do everything in my power to put the health of America 
back on track.

    I have been greatly heartened to discover a deep level of 
care among Members of this Committee, both Democrats and 
Republicans. I came away from our conversations hopeful that we 
can put aside our divisions for the sake of a healthy America.

    For a long time the Nation has been locked in a divisive 
health care debate about who pays. Well, when health care costs 
reach 20 percent of GDP, there are no good options, only bad 
ones. Shifting the burden around between government and 
industry and corporations is like changing the deck chairs on 
the Titanic. Our Country will sink beneath a sea of desperation 
and debt if we do not change course and ask the fundamental 
question, why are health care costs so high in the first place?

    The obvious answer to that question is chronic disease. The 
CDC says over 90 percent of health care spending goes toward 
managing chronic disease, which hits lower-income Americans the 
hardest. The President's pledge is not to make some Americans 
healthy again but to make all Americans healthy again.

    There is no single culprit for chronic disease. Much as I 
have criticized certain industries and agencies, President 
Trump and I know that most of the scientists and experts 
genuinely care about Americans' health. Therefore, we will 
bring together all stakeholders in pursuit of this unifying 
goal.

    Before I conclude, I want to make sure this Committee is 
clear about a few things. News reports and many in the hearing 
yesterday have claimed that I am anti-vaccine and anti-
industry. Well, I am neither. I am pro-safety. I am pro good 
science. I worked for 4 years to raise awareness about mercury 
and other toxins in fish, and nobody called me anti-fish. All 
of my kids are vaccinated, and I believe vaccines have saved 
millions of lives and play a critical role in health care.

    Nor am I the enemy of food producers. American farms are 
the bedrock of our culture and our national security. I was a 
4-H kid, and I spent my summers on ranches. I want to work with 
our farmers and food producers to remove burdensome regulations 
and unleash American ingenuity. MAHA simply cannot succeed if 
we do not have the partnership of America's farmers.

    In my advocacy I have often disturbed the status quo by 
asking uncomfortable questions, and I am not going to apologize 
for that. We have massive health problems in our Country that 
we must face honestly. And the first thing I have done every 
morning for the past 20 years is pray to God that he would put 
me in a position where I can end the chronic disease epidemic 
and protect our children. That is why I am so grateful to 
President Trump for the opportunity to sit here before you 
today and seek your support and your partnership in this 
endeavor.

    I will conclude with a promise to you, Mr. Chairman, to the 
Members of this Committee, to the President, and most of all to 
the tens of millions of parents across America, especially the 
moms who have propelled this issue to center stage. Should I be 
so privileged as to be confirmed, we will make sure our tax 
dollars support healthy foods. We will scrutinize the chemical 
additives to our food supply. We will remove the financial 
conflicts of interest from our agencies. We will create an 
honest, unbiased, science-driven HHS, accountable to the 
President, to the Congress, and to the American people. We will 
reverse the chronic disease epidemic and put the Nation back on 
the road to good health. Thank you.

    [The prepared statement of Mr. Kennedy follows.]
              prepared statement of robert f. kennedy, jr.
    Chairman Cassidy, Ranking Member Sanders, and Members of this 
distinguished Committee, I am humbled to be sitting here today as 
President Trump's nominee to oversee the U.S. Department of Health and 
Human Services. I want to thank President Trump for entrusting me to 
deliver on his promise to make America healthy again.

    I also want to thank my wife Cheryl, who is with us here today; and 
all the members of my large extended family, for the love that they 
have so generously shared. Ours has always been a family devoted to 
public service, and I look forward to continuing that legacy.

    I want to particularly thank you, Mr. Chairman, for the time that 
you have spent with me. I greatly admire your passion for public health 
and commitment to science, and this Committee is blessed to have a 
medical doctor at the helm.

    My journey into the issue of health began with my career as an 
environmental lawyer. Working with hunters and fishermen and mothers 
and the small towns on the Hudson, I learned that human health and 
environmental health are inseparable. The same chemicals that kill fish 
make people sick too.

    Today, Americans' overall health is in a grievous condition. Over 
70 percent of adults and a third of children are overweight or obese. 
Diabetes is ten times more prevalent than in 1960. Cancer among young 
people is rising by one or 2 percent a year. Autoimmune diseases, 
neurodevelopmental disorders, asthma, Alzheimer's, ADHD, depression, 
addiction, and a host of other physical and mental health conditions 
are on the rise.

    The United States has worse health than any other developed nation, 
yet we spend far more on healthcare--at least double; in some cases, 
triple. Last year we spent $4.8 trillion, not counting indirect costs 
like missed work. That's almost a fifth of GDP. It's tantamount to a 20 
percent tax on the entire economy. No wonder America has trouble 
competing with countries that pay a third what we do, yet have 
healthier workforces.

    But I don't want to make this too much about money. It's the human 
tragedy that moves us to care. A healthy person has a thousand dreams. 
A sick person has only one. Today, over half of our countrymen and 
women are chronically ill.

    When I met with President Trump last summer, I discovered he has 
more than just ``concern'' for this tragic situation, but genuine care. 
President Trump has committed to restoring the American Dream, and 77 
million Americans delivered a mandate to do just that--due in part to 
his embrace and elevation of the Make America Healthy Again movement. 
This movement--led largely by MAHA moms from every state, is one of the 
most powerful and transcendent I've ever seen.

    I have promised President Trump that if confirmed I will do 
everything in my power to put the health of Americans back on track.

    I have been greatly heartened to discover a deep level of care 
among Members of this Committee too. I came away from our conversations 
confident that we can put aside our divisions for the sake of a healthy 
America.

    For a long time, the Nation has been locked in a divisive 
healthcare debate about who pays. Well, when healthcare costs reach 20 
percent of GDP, there are no good options, only less bad. Shifting the 
burden around between government, corporations, and families is like 
rearranging the deck chairs on the Titanic. Our Country will sink 
beneath a sea of desperation and debt if we don't change course and 
ask: Why are healthcare costs so high in the first place?

    The obvious answer is chronic disease. The CDC says 90 percent of 
healthcare spending goes toward managing chronic disease, which hits 
lower-income Americans the hardest. The President's pledge is not ``To 
Make Some Americans Healthy Again.'' It's all of us.

    There is no single culprit for chronic disease. Much as I have 
criticized certain industries and agencies, President Trump and I know 
that most of their scientists and experts genuinely care about 
Americans' health. Therefore, we will bring together all stakeholders 
in pursuit of this unifying goal.

    Before I conclude, I want to make sure the Committee is clear about 
a few things. News reports have claimed that I am anti-vaccine or anti-
industry. Well, I am neither; I am pro-safety. I worked for years to 
raise awareness about the mercury and toxic chemicals in fish, but that 
didn't make me anti-fish. All of my kids are vaccinated, and I believe 
vaccines have a critical role in healthcare.

    Nor am I the enemy of food producers. American farms are the 
bedrock of our culture and national security. I was a 4H kid and spent 
my summers on ranches. I want to work with our farmers and food 
producers to remove burdensome regulations and unleash American 
ingenuity.

    In my advocacy I have often disturbed the status quo by asking 
uncomfortable questions. Well, I won't apologize for that. We have 
massive health problems in this country that we must face honestly. And 
the first thing I've done every morning for the past 20 years is pray 
to God that he would put me in a position where I can end the chronic 
disease epidemic and bring health back to our children. That is why I 
am so grateful to President Trump for the opportunity to sit before you 
today and seek your support and partnership in this endeavor.

    I will conclude with a promise--to the Members of this Committee, 
to the President, and most of all to the tens of millions of parents 
across America, especially the moms who have propelled this issue to 
center stage: Should I be so privileged as to be confirmed, we will 
make sure our tax dollars support healthy foods. We will scrutinize the 
chemical additives in our food supply. We will remove the financial 
conflicts of interest in our agencies. We will create an honest, 
unbiased, science-driven HHS, accountable to the President, to 
Congress, and to the American people. We will reverse the chronic 
disease epidemic and put the Nation back on the road to health.
                                 ______
                                 
    The Chair. Thank you, Mr. Kennedy. I will start. And for 
everyone's information, yesterday Finance went long. This is 
not the Star Chamber. This is where I think most people can get 
their questions out in 5 minutes. And so I will let it go a 
little bit over 5, but out of deference to our witness, who has 
already testified for 3 hours, I will be a little tight. That 
said at the end, taking the Ranking Member and the Chairman's 
privilege, the two of us will have a chance to have a little 
bit more, and that is what you get for being the Chair. So, 
that said. Let's begin.

    Bobby, if I may, because you said I could, you once 
described yourself as pro-vaccine to me. Now, the context of 
what I am about to ask is that there are multiple studies 
establishing the safety of measles and hepatitis B vaccine, and 
specifically that they are not a cause of autism. In this 
position--and you have previously said yes. But if you are 
approved to this position, will you say, unequivocally, will 
you reassure mothers, unequivocally and without qualification, 
that the measles and hepatitis B vaccines do not cause autism?

    Mr. Kennedy. Senator, I am not going into the agency with 
any----

    The Chair. That is kind of a yes-or-no question, because 
the data is there. And that is kind of a yes or no. And I do 
not mean to cut you off, but that really is a yes or no.

    Mr. Kennedy. If the data is there I will absolutely do 
that.

    The Chair. Now, there is the data, just because I used to 
do hepatitis B, as I said. I know the data is there.

    Mr. Kennedy. Then I will be the first person, if you show 
me data, I will be the first person to assure the American 
people that they need to take those vaccines.

    The Chair. Now, what concerns me is that you have cast 
doubt on some of these vaccines recently, I mean like the last 
few years, but the data--and I can quote some of it--the data 
has been there for a long time. I have been out of the game, I 
have been in Congress for 16 years, and this data was, in large 
measure, generated before I came to Congress.

    My concern is that if you are making those claims and being 
so influential, I mean, your bully pulpit is incredible, with 
that responsibility that you never acquainted yourself with 
anything that might contradict that which you are previously 
saying.

    Let me ask once more. If the data is brought to you and 
these studies that have been out there for quite some time, and 
peer-reviewed, and it shows that these two vaccines are not 
associated with autism, will you ask, ``No, I need even more,'' 
or will you say, ``No, I see this. It has stood the test of 
time, and I unequivocally and without qualification say that 
this does not cause autism.''

    Mr. Kennedy. Not only will I do that, but I will apologize 
for any statements that misled people otherwise.

    The Chair. Thank you. Next----

    Mr. Kennedy. I just want to pledge to you that I will never 
stick on a point if somebody shows me data that says I am 
wrong. I know that is an interpretation people have, but it is 
absolutely wrong. I am science-driven and evidence-driven.

    The Chair. I think the concern is how persuadable people 
are. But let me go on because I have limited time. I am going 
to hold myself to the same 5 minutes.

    Yesterday, Senator Bennet in Finance asked you if you had 
once previously made statements that Lyme disease was created 
as a military bioweapon, and you said you may have said that 
once. Do you still believe that Lyme disease was created as 
military bioweapon?

    Mr. Kennedy. I have never believed that, Senator. What I 
said is that we should always follow the evidence. There were 
three books suggesting that. I have not read them through. What 
I have said is we should always follow evidence, not matter 
what it says.

    I never have said that definitively Lyme disease was 
created in a bio lab.

    The Chair. Okay. Next, again, this will be kind of a yes or 
no. Do you commit that you will revise any CDC recommendations 
only based on peer-reviewed, consensus-based, widely accepted 
science, in other words, not personal beliefs or the beliefs of 
any single person that you or your Department may identify?

    Mr. Kennedy. Absolutely, Senator. I am not going to go into 
HHS and impose my preordained opinions on anybody at HHS. I am 
going to empower the scientists at HHS to do their job and make 
sure that we have good science that is evidence-based, that is 
replicable, where the raw data is published.

    The Chair. I am almost out of time, so let me get to 
another question.

    Mr. Kennedy. All right.

    The Chair. Do you promise that FDA will not de-prioritize 
or delay review and/or approval of new vaccines and that 
vaccine review standards will not change from historical norms?

    Mr. Kennedy. Well, we will have the best vaccine standards 
with safety studies, and I will----

    The Chair. That is a little bit of a different answer than 
the question I asked, because what is the best could be in the 
eyes of the holder. So let me read it again, promise that the 
FDA will not de-prioritize or delay review and/or approval of 
new vaccines and that vaccine review standards will not change 
from historical norms.

    Mr. Kennedy. Yes.

    The Chair. Great. With that I will set a good example and I 
yield my time to the Ranking Member.

    Senator Sanders. Thank you, Chairman Cassidy. And I am 
going to do what I very rarely do is actually follow-up on a 
question of Senator Cassidy.

    There have been, as I understand it, dozens of studies done 
all over the world that make it very clear that vaccines do not 
cause autism. Now, you have just said, if I heard correctly, 
well, if the evidence is there. The evidence is there. That is 
it. Vaccines do not cause autism. Do you agree with that?

    Mr. Kennedy. As I said, I am not going to go into HHS with 
any preordained----

    Senator Sanders. I asked you a simple question, Bobby. 
Studies all over the world say it does not. What do you think?

    Mr. Kennedy. Senator, if you show me those studies, I will 
absolutely, as I promised to Chairman Cassidy, I will----

    Senator Sanders. That is a very troubling response, because 
the studies are there. Your job is to have looked at those 
studies as an applicant for this job.

    All right. Let me ask another question, this one about 
COVID. Scientists from Yale School of Public Health and 
University of Maryland have estimated that the COVID vaccine 
saved 3 million lives and prevented 18 million 
hospitalizations. President Trump, someone who I do not often 
agree with, has said that the COVID vaccines was, quote, ``one 
of the greatest miracles of the ages.'' That is Donald Trump.

    Bobby, you had a very different perspective. At a time when 
thousands of Americans were dying from COVID every week, in May 
2021, you petitioned the Food and Drug Administration to revoke 
the emergency use of COVID vaccines.

    My question to you is, were the scientists who told us that 
the COVID vaccine was imperative, and President Trump who told 
us that it was this great thing, were they right, or were you 
right when you told people that they should not take COVID 
shots?

    Mr. Kennedy. Senator, I filed that lawsuit after CDC 
recommended the vaccine for 6-year-old children, without any 
evidence that it would benefit them and without testing on 6-
year-old children. And that was my reason for filing that 
lawsuit.

    Senator Sanders. Was the vaccine, the COVID vaccine, 
successful in saving millions of lives?

    Mr. Kennedy. I do not know. We do not have a good 
surveillance system, unfortunately.

    Senator Sanders. You do not know?

    Mr. Kennedy. I do not think anybody can say that. If you--
science that shows that.

    Senator Sanders. But you know, Bobby, if I show you, you 
are applying for the job. I mean, clearly you should know this, 
and that is the scientific community has established that, that 
the COVID vaccine saved millions of lives. And you are casting 
doubt. That is really problematic.

    All right. Let me ask you another question on another 
subject. My Republican colleagues, and President Trump, are 
moving toward making massive cuts into Medicaid in order to 
provide tax breaks to the wealthiest people in this country. As 
I am sure you know, Medicaid provides health insurance to tens 
of millions of children, provides the funding for two out of 
every three seniors in nursing homes, it provides 43 percent of 
the revenue for community health centers, something I feel very 
strongly about, and it is so important for millions of people.

    If confirmed, in terms of making America healthy again, 
will you stand up to the White House and say, no, we cannot 
throw millions of children off of health care, millions of 
elderly people out of nursing homes, we cannot cut Medicaid to 
give tax breaks to billionaires?

    Mr. Kennedy. President Trump has made no indication to me 
that he intends to throw millions of people out of nursing 
homes or deprive people of their health care, Senator. It is a 
health care system that is broken, is not working. You have 
been working on it your entire career. As Americans get less 
and less healthier, as premiums rose----

    Senator Sanders. Bobby, I----

    Mr. Kennedy [continuing]. As----

    Senator Sanders [continuing]. The health care system is 
broken.

    Mr. Kennedy. You asked me to fix it----

    Senator Sanders. But to fix it----

    Mr. Kennedy [continuing]. It works for the American people.

    Senator Sanders. But my colleagues here, certainly in the 
House of Representatives, are prepared to make massive cuts in 
Medicaid. Now I happen to believe in a Medicare for All system, 
which guarantees health care to all people, not what we are 
talking about. But, in fact, there is serious discussion of 
massive cuts to Medicaid, which would cause devastating harm on 
children and people in nursing homes. All I am asking you, if 
that proposal goes through will you say, ``Hey, you are not 
keeping America healthy by throwing children off of health 
care.''

    Mr. Kennedy. Senator, I have not seen any congressional 
proposals. I can only tell you what President Trump has told 
me, which is that he wants me to make Medicaid, Medicare, and 
Obamacare better.

    Senator Sanders. Well, if you have not seen those proposal, 
I suggest you go to any newspaper. They are there. Thank you, 
Mr. Chairman.

    The Chair. Senator Paul.

    Senator Paul. I think the discussion over vaccines is so 
oversimplified and dumbed down that we never really get to real 
truths, and it is why people up here are so separated from real 
people at home.

    We talk about hepatitis B. It is a terrible disease. It 
could lead to liver failure, as the Chairman said. But the 
reason you have distrust from people at home, why they do not 
believe anything you say, and they do not believe government at 
all, is you are telling my kid to take a hepatitis B vaccine 
when he is 1 day old. You get it through drug use and sexually 
transmitted. That is how you get hepatitis B. But you are 
telling me my kid has to take it at 1 day old. That is not 
science.

    Every person with a bit of common sense, even people who do 
not resist vaccines--I have vaccinated all my kids. I believe 
vaccines are one of the modern miracles beyond all pale. The 
Speckled Monster is a great book about the introduction of the 
smallpox vaccine in 1720, into our Country. All miracles.

    But I am not a one-size-fits-all. It is not all or nothing. 
I chose to wait on my hepatitis B vaccine, and we did it when 
they went to school. Does that make me an awful person? Does 
that make me an anti-vaxxer because I questioned the government 
dictate of whether I do it? And I am not speaking for anybody 
else. I am only speaking for myself. But for goodness sakes, 
let's have an honest debate about these things.

    The COVID vaccine. If you asked me my opinion, there were 
reporters running up and down this hall, and they say, ``Are 
you still anti-vaccine?'' No, I am pro-vaccine. But on the 
COVID vaccine, and on the COVID illness, there was a 
thousandfold or more difference between the elderly and 
children. If you do not acknowledge that, you are committing 
malpractice. You are showing your ignorance. If you say a 6-
month-old must be mandated to get it, the science is not there.

    All this blather about the science says this and the 
science says that, no, it does not. The science actually shows 
that no healthy child in America died from COVID. Look it up. 
No healthy child died from COVID.

    The thing is, is that it is a thousandfold greater. So if 
you ask me my advice as a physician, if you were 65 or older, 
or overweight and some other conditions, I would have said, 
``Hell yes, I would take the COVID vaccine.'' The risks of the 
disease were real and much greater than the vaccine. But if you 
asked me, ``Should my healthy 6-month-old get it?''

    See, these are the nuances you are unwilling to talk about 
because there is such a belief in submission. Submit to the 
government. Do what you are told. There is no discussion. There 
ought to be a debate. You are not going to let him have the 
debate because you are just going to criticize and say, ``It is 
this, and admit to it or we are not going to appoint you.''

    But it is more complicated than that. And this is why 
people distrust government, because you are unwilling to have 
these conversations. And go home. Ask your Democrat young 
mothers, your Republican young mothers if they are vaccinating 
their kid for hepatitis B, and they are like, ``Well, do I have 
to do that on day one to this precious little baby.'' Is there 
science to say you should not do it? Probably not, but it is my 
kid. There is not clear-cut science saying not to.

    But on autism, there is no good science of anything to show 
what causes autism. We do not know. It is a profound disease, 
and I know many moms here, and dads, who have kids with autism, 
and I know them personally, I have met their kids. But the 
thing is they saw their kids developing completely normal, 
maybe speaking 100 words, go to no words, at about 15 months of 
age.

    Now, there is not proof. There is not proof that the 
vaccines cause it. That is true. There is not proof that it 
causes it. But we do not know what causes it yet, so should we 
not be at least open-minded? We take 72 vaccines. Could it be? 
I do not know. But we should not just close the door and say we 
are no longer because we believe so much in submission, we are 
not going to have an open mind to study these things.

    It is sort of this crazy notion. Schizophrenia I would put 
in the same notion. You have a kid who is completely normal to 
18 or 19, and their brain goes haywire. How does that happen? 
It is the most bizarre disease. Should we not be open? Could it 
be our food? It might be vaccines. It might be our food. But 
autism is more common. I do not know about the schizophrenia 
statistics, but autism is more common. Shouldn't we want to be 
open-minded? Instead, we are so closed-minded and we are so 
consensus-driven that the science says this. Well, science does 
not say anything. Science is a dispute, and 10 years from now 
we could all be wrong.

    We were told in the beginning, 20 years ago, they did this 
enormous study and they said everybody over 50 should take an 
aspirin. I thought, well, that is a pretty good idea. It makes 
sense. But you know what? Twenty years later they measured it, 
and they found if you had no heart disease and you were taking 
aspirin your chance of dying from a brain bleed or from a 
stomach bleed were greater than the risk of heart disease. If 
you have heart disease they still say take an aspirin. If you 
do not, they have changed their minds 20 years later. But would 
have all said I was crazy and I should no longer be in public 
discourse if I had said, 20 years ago, ``I do not feel like 
taking an aspirin. I ride my bike all the time. I am afraid I 
might hit my head.''

    But that is what country is about. It is what dissent is 
about. So I just ask you to look at the larger picture and give 
the guy a break who says, ``I just want to follow the science 
where it leads, without presupposition.'' I think really what 
we have up here is presupposition. You have already concluded, 
it is absolute that autism is not caused by--we do not know 
what causes autism, so we should be more humble in what we say.

    Sorry I did not get to a question.

    [Applause.]

    The Chair. For the record, if a child is born to a 
hepatitis B mother, that child may have a 95 percent chance of 
becoming a chronic carrier.

    Senator Paul. We vaccinate those people, and nobody is 
against that.

    The Chair. But if that----

    Senator Paul. That is a very small percentage and a red 
herring. That is not what we are talking about. Ninety-nine 
point 9 percent of kids do not have a hepatitis B mom, and 
could they wait awhile? Could they get vaccinated a 3 months or 
a year? Yes.

    The Chair. Again, for the record, if the mother's hepatitis 
B status is known, then that can be delayed. The problem is 
oftentimes, or at least a significant percentage of the time, 
the mother's status is not known. If she is hepatitis B-
positive a vaccine on day one of life prevents chronic 
hepatitis B 95 percent of the time.

    It really depends upon the knowledge of the mother's 
hepatitis B status. And when they used to do just, Okay, we 
know the mother's status or not, there are mothers that snuck 
through. Their status was unknown. We can blame the OBs--yes, 
Marshall.

    But for record, there is an absolute rationale for that. 
But you are right, if the mother's status is definitively 
known, then it can safely delayed.

    Now Senator Murray.

    Senator Murray. Thank you, Mr. Chairman. HHS has really 
broad and critical responsibilities to protect and preserve 
health care and social services, from women's health to 
childcare to biomedical research. That is just a few.

    In light of last night's tragedy, I do want to express my 
thoughts and prayers, but it is, I think, a painful reminder to 
all of us that we need competent people running our Federal 
agencies to respond when a crisis strikes.

    Mr. Kennedy, let me start by talking about vaccines. I 
think we all agree that cancer is a particularly nefarious 
chronic disease, and the American Cancer Society reported 
earlier this month that women under 50 are experiencing a 
dramatic increase in the incidence of that disease.

    Fortunately, there is clear data showing that the HPV 
vaccine has saved lives and cut cervical cancer rates 
dramatically. You have called the HPV vaccine, quote, 
``dangerous and defective,'' and said it actually increases the 
risk of cervical cancer. Do you stand by those statements, yes 
or no?

    Mr. Kennedy. The HPV vaccine, I brought litigation, I 
represented----

    Senator Murray. Yes or no.

    Mr. Kennedy [continuing]. I represented----

    Senator Murray. Do you stand by your statement?

    Mr. Kennedy. Let me answer.

    Senator Murray. I am trying to. Yes or no. It is a simple 
yes or no.

    Mr. Kennedy. I----

    Senator Murray. Do you stand by your previous statement?

    Mr. Kennedy. I litigated on that issue. I represented 
hundreds of young girls who felt that they were injured by the 
vaccine. That trial is happening right now in Los Angeles.

    Senator Murray. Well, let me ask you----

    Mr. Kennedy. Those questions will be answered by a jury in 
that trial.

    Senator Murray. You said that no loving parents would allow 
their daughter to receive that vaccine. If confirmed as HHS 
Secretary, would you recommend that parents get their children 
vaccinated against HPV?

    Mr. Kennedy. I recommend that children follow the CDC 
schedule, and I will support the CDC's schedule when I get in 
there, if I am fortunate enough to be confirmed.

    Senator Murray. Would you recommend that parents get their 
children vaccinated against the measles, yes or no?

    Mr. Kennedy. Against measles? Yes.

    Senator Murray. Well, I will just remind everybody that 
parents look to our health leaders for advice on these 
decisions. You would be a health leader. And for the record I 
would like to put into the record his previous statements on 
these vaccines.

    The Chair. Without objection.

    [The following information can be found on page 60 in 
Additional Material:]

    Senator Murray. I do want to ask you a question about 
character. I still believe character matters, and I want to let 
you respond to this. You were accused of sexual harassment and 
assault by Eliza Cooney, who was first hired as a part-time 
babysitter by your family. When you were confronted about this 
accusation you said you were, quote, ``not a church boy'' and 
that you, quote, ``have so many skeletons in my closet.'' You 
then texted Ms. Cooney an apology and indicated you had no 
memory of what she described.

    Mr. Kennedy, I am asking you to respond to those 
accusations seriously in front of this Committee. Did you make 
sexual advances toward Ms. Cooney without her consent, yes or 
no?

    Mr. Kennedy. No, I did not, and the story has been 
debunked.

    Senator Murray. But why did you apologize to her then?

    Mr. Kennedy. I apologized for something else.

    Senator Murray. Well, that is not my understanding. Let me 
just ask you----

    Mr. Kennedy. All you have to read is the texts which she 
published. It is not for that.

    Senator Murray. That is not how I have read it. Are there 
any other instances where you have made sexual advances toward 
an individual without their consent? Just yes or no.

    Mr. Kennedy. No.

    Senator Murray. No. Mr. Kennedy, you said that you are 
going to say to NIH scientists, ``God bless you all. Thank you 
for your public service. We are going to give infectious 
disease a break for 8 years.''

    Mr. Kennedy. Excuse me?

    Senator Murray. You just said thank you for your service to 
our Federal employees. You want to give infectious disease a 
break. That is a quote. Will you support the development and 
distribution of vaccines for the avian flu? Yes or no.

    Mr. Kennedy. For the avian flu, yes.

    Senator Murray. My time is almost up, but having read a lot 
and listened a lot, I just want to remind all my colleagues 
that by voting to confirm Mr. Kennedy we would be telling our 
constituents he is worth listening to. That alone could get 
people killed before he even lifts a finger, because he does 
not even need the leverage of power to influence people. As we 
saw in Samoa, all he needs is a megaphone.

    To affirm his views by voting to confirm him as our highest 
health official we should not mince words about what that would 
mean. When babies die from whooping cough because parents were 
not sure if the vaccine was safe, we will have to look them in 
the eye. When measles sweeps through schools and hospitals, 
nursing wards, will this be worth it? There are political 
realities. We all get that. But there is also right and wrong, 
fact and fiction, and there are also people staying healthy or 
dying pointlessly from diseases we can prevent because they 
thought Congress took its job vetting our health care Secretary 
seriously.

    Thank you, Mr. Chairman.

    The Chair. We are going to now go out of order. We are 
going to go to Senator Marshall. He would like to be able to 
view the press conference regarding the tragedy on the plane 
from Wichita.

    Senator Marshall.

    Senator Marshall. Well, thank you, Mr. Chairman, and thank 
you, Mr. Kennedy, for your kind words this morning, for your 
caring text last night. I am grateful for all my colleagues, 
most everybody reaching out to us. And it is certainly a tough 
day for Kansans and many others who lost loved ones, and we 
will look forward to meeting with the President later today and 
those loved ones. And we just want everyone back home to know 
that we are wrapping our arms around them, that we are mourning 
with them, and we will get through this together. So thank you.

    Mr. Kennedy, take a second and just describe why fighting 
chronic disease is so important to you. Who are we fighting 
for? What is your role as HHS Secretary, and is there anything 
that is a bigger priority to you than this, as you go into this 
role?

    Mr. Kennedy. Thank you, Senator. When I was a 10-year-old 
boy, my uncle was in the White House, the chronic disease among 
American children was 2 percent. Today it is 66 percent. The 
cost of chronic disease to our Country when my uncle was 
President was zero. There were not even treatments for chronic 
diseases at that time. Today the cost is $4.3--$4.5 trillion. 
It is bankrupting our Country. Seventy-seven percent of 
American kids cannot qualify for military service. Thirty-eight 
percent of teens, according to NIH's last report, which was 3 
weeks ago, 38 percent are diabetic or pre-diabetic.

    When my uncle was President the typical pediatrician would 
see one or two cases of diabetes in his lifetime, juvenile 
diabetes. Today it is more than a third of the kids who walk 
through his door, or her door, is diabetic or pre-diabetic.

    Autism rates have gone from 1 in 1,500 to 1 in 10,000, 
depending on what study you look at, in my generation, 70-year-
old men today. In our children it is 1 in 34. I had 11 
siblings. I had dozens of first cousins.

    Senator Marshall. Mr. Kennedy, I am sorry. So what is your 
role as HHS Secretary to fight that disease?

    Mr. Kennedy. There has never been an HHS Secretary who came 
into this--it was all about the typical partisan debate about 
how we allocate the costs, whether insurers pay it or whether 
hospitals, providers, or families pay it. And the costs 
continue to rise. All the things we are debating on, our kids 
are getting sicker and sicker.

    Senator Marshall. Yes, just to quote you from yesterday, it 
is like we are moving the chairs on the Titanic----

    Mr. Kennedy. Yes, and the ship is sinking, and nobody is 
paying attention to it. And yesterday I got question after 
question from the Democrats about measles. In 1963, the year 
before the measles epidemic, or the measles vaccine was 
introduced, 500 American kids died from measles, almost all of 
them extremely poor and malnourished. We have 252 million 
Americans who are suffering from chronic disease, and none of 
them, they did not mention diabetes, they did not mention heart 
disease, they did not mention cancers yesterday.

    We need to refocus if we are going to save our Country. 
This is existential. Our Country is not going to be destroyed 
because we get the marginal tax rate wrong.

    Senator Marshall. I think----

    Mr. Kennedy. It is going to be destroyed if we get this 
issue wrong. And I am in a unique position to be able to stop 
this epidemic.

    Senator Marshall. Mr. Kennedy, I want to just contribute, 
as one of the three physicians on here, and even as I listen to 
my friends across the aisle, my conclusion is that we have to 
guard the physician-patient relationship, and give those 
parents of these kids the information. All three of us are 
going to disagree on exactly who should and should not get a 
particular vaccine. We all recognize the incredible successes 
of different vaccines, as well.

    But we have to give the American public the best 
information, non-biased information, and I would love to get 
you to respond to that. But I have an important question for 
folks back home, and this will be my last question.

    I have never seen a person whose words, written and spoken, 
have been so misattributed, exaggerated, sensationalized, and 
taken out of context. Will you just speak to my farmers and 
ranchers back home and tell me about your, where do they fit 
into this role of MAHA and how we are going to work with them, 
and just your compassion toward these farmers and ranchers.

    Mr. Kennedy. I mean, MAHA will not succeed without the 
cooperation and partnership of agricultural producers, of 
farmers and ranchers across this country. I was a 4-H kid. I 
grew up working on ranches. And I have worked for years 
representing farmers in various forms of litigation. Thomas 
Jefferson said that American democracy is rooted in tens of 
thousands of independent, freeholds owned by farmers. We are 
losing farmers today, and we cannot afford to lose a single 
farmer. And on my watch I do not want to lose a single farmer.

    We have to offer farmers an offramp from chemically 
intensive agriculture, which they do not want to do, which even 
the chemical industry is ready to change, so that they can grow 
crops that they can sell in Europe, so they can grow crops. 
Senator Hawley told me, during our meeting, that four out of 
five of his brothers-in-law have Parkinson's. There is illness 
all over the farm community, and it is undoubtedly related to 
the intensity of chemical pesticides.

    The Chair. Mr. Kennedy----

    Mr. Kennedy. We need to reduce that. I am not going to do 
anything to coerce the farmer. President Trump was the best 
President in modern American history for the American farmer, 
the first one to see farm prices go up. He has instructed me to 
take care of the farmers and make sure they are full partners.

    Senator Marshall. God bless you. Thank you.

    The Chair. Senator Baldwin.

    Senator Baldwin. Thank you, Mr. Chairman. Mr. Kennedy, I 
have been listening to the back-and-forth and questions, and 
when people have tried to pin you down you have said----

    Mr. Kennedy. Can you speak up, Senator Baldwin.

    Senator Baldwin. Yes. I have been listening to the back-
and-forth, the questions, and when people tried to pin you down 
on a point you said, ``Show me the data'' or ``Bring me the 
studies.'' And I want to suggest that data is out there, and 
those studies are out there. And if you are going to review all 
those studies and data, you are going to be doing that, if 
confirmed, for your first year of being Secretary.

    When we talked, we were talking a bit about vaccines at the 
end of our meeting, and you said, really, to me, that there is 
no post-approval safety monitoring. And that led me to believe 
that you are not aware of the significant and ongoing safety 
monitoring that occurs after years of rigorous studies showing 
vaccines to be safe and effective.

    I want to give you the opportunity to set the record 
straight here. Are you aware of the measures in place 
throughout Health and Human Services to ensure vaccine safety 
after approval? Yes or no.

    Mr. Kennedy. I am aware of the VAERS system, which CDC 
admits, captures fewer than 1 percent of vaccine injuries.

    Senator Baldwin. So you are aware of CDC monitoring----

    Mr. Kennedy. I am also aware----

    Senator Baldwin [continuing]. Are you aware of the FDA 
post-approval monitoring?

    Mr. Kennedy. I am aware of only two systems.

    Senator Baldwin. Are you aware of the Vaccine Safety 
Datalink?

    Mr. Kennedy. Oh yes. I am very aware of that.

    Senator Baldwin. Are you aware of the Vaccine Adverse Event 
Reporting System?

    Mr. Kennedy. I am aware of the Vaccine Safety Datalink that 
CDC keeps under a lockbox and will not let independent 
scientists look at it.

    Senator Baldwin. Are you aware of the Clinical Immunization 
Safety Assessment Project?

    Mr. Kennedy. As I said----

    Senator Baldwin. Are you aware of V-safe?

    Mr. Kennedy. I am aware that they are broken, and I can 
explain to you how each one of those is broken, if you are 
interested. What I want to do is make sure we have gold 
standard science, that we get the conflicts off the panels so 
that people--this Congress----

    Senator Baldwin. What I listed right now are just some of 
the guardrails that are in place to ensure that lifesaving 
vaccines are safe and effective, and this is after numerous 
clinical trials, rigorous studies, and review by an independent 
panel of experts that show vaccines are safe and effective, 
which is available to all the public.

    If you want to take a second look at the science, like you 
have said, well, it is here, it is available, and it is 
conclusive. And saying anything else is undermining vaccines.

    To a different----

    Mr. Kennedy. I am, by the way, repeating what Congress 
found----

    Senator Baldwin. A different issue----

    Mr. Kennedy [continuing]. In the 2003 investigation.

    Senator Baldwin. Mr. Kennedy, I want to move to what I hope 
will be pretty simple stuff. In general, for a drug to be 
considered safe would you say that 97, 98 percent of people 
taking that drug and having no complications is generally safe?

    Mr. Kennedy. It would completely depend on what the drug 
is. If it is a drug given to a healthy population, that would 
not be acceptable.

    Senator Baldwin. Again, this is as high a level as it gets. 
Would you say that when 99 out of 100 people experienced 
minimal or no complications, that drug is safe?

    Mr. Kennedy. It depends on what the risk is from the 
disease. It depends on what the benefit from the drug is. If 
you are dying of cancer, you will take a drug with that kind of 
risk profile.

    Senator Baldwin. If we were to talk about----

    Mr. Kennedy. If you are a healthy individual----

    Senator Baldwin [continuing]. Peer-reviewed----

    Mr. Kennedy [continuing]. If you are a healthy individual 
with zero risks----

    Senator Baldwin. I am talking about mifepristone. But if we 
were to talk about peer-reviewed, replicable studies of a 
medication, would you say that you needed 10 trusted studies to 
get the same conclusion?

    Mr. Kennedy. It depends on what the----

    Senator Baldwin. Twenty trusted studies?

    Mr. Kennedy. It depends on what the----

    Senator Baldwin. What is your number?

    Mr. Kennedy. It completely depends on the kind of study you 
are talking about, randomized studies or observational studies.

    Senator Baldwin. Is it safe to assume that 100 studies that 
are replicable and peer-reviewed is enough?

    Mr. Kennedy. Well, it could be one study if it was a 
powerful enough study.

    Senator Baldwin. The most widely used medication abortion 
drug, mifepristone, has been FDA approved for nearly 25 years. 
More than 100 studies have confirmed that 99 percent of 
patients who took the abortion pill had no complications. So 
with all of that, I can only conclude that you would commit to 
keep this science-backed and proven medication on the market 
and accessible for women. Is that correct?

    Mr. Kennedy. I am going to--with mifepristone, President 
Trump has not chosen a policy. I will implement his policy.

    Senator Baldwin. Regardless of the studies, regardless of 
the data, regardless of the science, you have been talking 
about show me the data, show me the studies----

    Mr. Kennedy. Well, if you----

    Senator Baldwin [continuing]. You would have that policy 
regardless----

    Mr. Kennedy. Senator----

    Senator Baldwin [continuing]. Of what the science says.

    Mr. Kennedy. Senator, the devil is in the details. If you 
are telling me 99 percent of women did Okay but 1 percent died, 
I would say that is not beneficial risk profile.

    Senator Baldwin. That is not what the studies show.

    Mr. Kennedy. I know, but you are not showing me. I need 
those details from this study before I--I cannot buy a pig in a 
poke. Show me what the study says.

    The Chair. Let's move on.

    Next would be Senator Mullin.

    Senator Mullin. Thank you, Mr. Kennedy, for being here. We 
have fortunately been able to form quite a friendship over the 
last year, and I appreciate it. I appreciate the in-depth 
conversations we have had.

    I just want to point out, I do not understand why my 
colleagues all of a sudden say we cannot question science. It 
absolutely blows my mind that all of a sudden it is such shame 
that Bobby is sitting up here where he is questioning science, 
because I guarantee you if he was sitting here, and he was 
going to be the Secretary of HHS underneath the former 
President Biden, which I enjoy saying former President, I would 
bet you that you guys would be having his back 100 percent, and 
enjoy the fact that he is questioning science, and would 
probably support his positions 100 percent. But because he is 
now on the Republican side, you guys are like going way off the 
rail, and how dare he question science.

    My God, if we did not question science where would we be 
today? We have always questioned science. Science is always 
evolving, always changing. Have a glass of wine today; it is 
healthy for you. Do not have a glass of wine a day. Have a 
piece of chocolate a day; it is healthy. Dark chocolate is 
healthy for you. Take an aspirin a day, as Senator Rand Paul 
pulled out. I mean, where would we be today if we did not ever 
question science?

    But I will say there is an issue that I have, as a father 
of six, that when my kids come out from getting their vaccines 
they look like a freaking pincushion. I mean, 72 vaccinations? 
I think there is a reason we should be questioning that.

    When you start looking at the risk of autism, why would we 
not be looking at everything? Who would not want to look at 
everything? Give me anybody in this room that does not know 
somebody that you are personally connected to that one of their 
children does not suffer from some severity of autism. Give me 
one. And you guys are all saying that Bobby cannot question it?

    I do not get it, guys. I do not understand your point, 
other than the fact you just oppose him because he supports the 
President that you guys do not like now. I applaud him for 
going into this situation and saying let's question something. 
The definition of insanity is doing the same thing, expecting 
different results. Is it not true that you are supposed to 
question science? Is anybody going to question the fact that is 
not true?

    Share the numbers with me again about autism, where they 
were at when you were a child to where they are at today, as my 
kids are children.

    Mr. Kennedy. There were not a lot of studies when I was a 
kid, but the best studies, and really the only studies out 
there, there are two studies. One shows a rate of about 1 in 
10,000, another about 1 in 1,500. And, there are other estimate 
in between. Today, it is 1 in every 36 kids, according to CDC.

    I want to say one other thing. Relevant to the point you 
just made, in 1963, my uncle, John F. Kennedy, awarded the 
highest civilian honor to Frances Kelsey. Frances Kelsey was a 
young scientist at NIH, who came in and objected to the panel 
having approved thalidomide for American children. All the 
scientists of that day--they were doing it in Europe--all the 
scientists of that day, and the scientific panels that worked 
for the agency, approved, green-lighted thalidomide.

    She stood up and screamed and fought and risked her job and 
risked her reputation, and she blocked it in our Country. Three 
years later, everybody recognized that she was a hero and a 
savior of our children, because we were not getting the kind of 
terrible, diabolical deformities that they were experiencing in 
Europe. My uncle gave her the highest civilian honor because 
she questioned science and was courageous enough to stand up 
and say, ``I do not care what happens to me. This cannot 
happen.''

    Senator Mullin. The irony is that she was a Democrat at 
that time and she questioned science. But now all of a sudden, 
because you are working for Republicans, you are not allowed to 
question science.

    Let's go back to this and say, let's just use the number 1 
in 10,000 at your age. Now, we are a little bit different in 
age. I am not going to say how old you are, but you look great 
for your age. I will say that 1 in 36, if that is not a 
pandemic then what is? One in 36, and it used to be 1 in 10,000 
have autism now? Can any of you guys, with a straight face, say 
that we should not look at every aspect to what we are putting 
in our kids, be it from the food to the vaccines. One in 36. 
That scares the living daylights of me. With six kids? I could 
have 36 grandkids. I am just doing the math. I am the youngest 
of seven. My family seems to be pretty active in that area.

    I am not necessarily trying to be funny, but I am being 
very serious, guys. We should support the fact that Bobby is 
questioning that. He is not saying he is against it. He is 
saying he is going to question it and the let the studies 
follow where they were, or they will. And God bless you for 
doing that. Thank you.

    Mr. Kennedy. Thank you, sir.

    [Applause.]

    The Chair. Senator Kaine.

    Senator Kaine. Thank you, Mr. Chair, and congratulations on 
your nomination, Mr. Kennedy. I enjoyed our conversation.

    Thank you for starting off today acknowledging the pain 
felt by people in this region from this horrible air tragedy 
last night. Senator Marshall and Senator Moran, a lot of folks 
from Kansas, a lot of folks from Virginia, D.C., Maryland, but 
also when that passenger list comes out, and when the three 
soldiers' names are revealed, every office here is going to 
have some connection to them, because you have your staffs who 
live here, and we kind of dread seeing that list of names.

    I drove to the airport at 6:30 this morning, and went 
across the bridge over the Potomac, and saw the operation, the 
recovery operation kind of underway in daylight hours. And I 
thought about the last big aviation disaster in Richmond, when, 
on 9/11, a plane slammed into the Pentagon. And Virginia got 
hurt very bad that day and so did the Nation.

    Just a couple of months ago you posted this on your X 
account. ``On 9/11, it is hard to tell what is conspiracy 
theory and what isn't.'' I would like to introduce that for the 
record, Mr. Chair.

    The Chair. Without objection.

    [The following information can be found on page 68 in 
Additional Material:]

    Senator Kaine. We take that kind of stuff pretty 
personally. Virginians know what happened on 9/11, and we do 
not need folks giving oxygen to conspiracy theories about 9/11.

    Now, one thing I noticed about this post is it was in July 
2024. It was 23 years after 9/11. You had a lot going on in 
your life. You were running for President then. What made you 
decide, in the midst of everything going on in this country and 
in this world in July 2024, and your own candidacy for 
President, that now was the time to say, ``It is hard to tell 
what is conspiracy and what isn't'' about 9/11? What was so 
important about making this point in July 2024?

    Mr. Kennedy. Senator, the dramatic drop in trust in our 
government, and this is particular one of the templates of 
that, is what happened at CDC.

    Senator Kaine. Yes, no, no. I want to move aside from that, 
because you say, you go on to say, ``I won't take sides as 
President. I won't take sides on 9/11.'' Wow. ``I won't take 
sides on 9/11.''

    Let me ask you this. As a general matter, do you find it 
hard to tell what is a conspiracy theory and what is not? Is 
that kind of a general deficit that you have in your own 
analytical abilities?

    Mr. Kennedy. My father told me, when I was 13 years old, he 
said, ``People in authority lie,'' and that the job of a 
citizen, in every democracy is to maintain----

    Senator Kaine. You are an authority.

    Mr. Kennedy [continuing]. A fear as to skepticism.

    Senator Kaine. Okay. I get it. And you are an authority, 
and you are an authority, but you would not take sides on 9/11 
and you are admitting, I have a hard time telling is what is a 
conspiracy theory and what is not.

    Mr. Kennedy. Senator, I have investigated it. The things I 
investigate I take sides on. People are allowed to hold that 
opinion. I am not going to tell them they are crazy for holding 
that opinion. I am going to say, ``What is your evidence?'' And 
if I hear the evidence I am going to say that does not make any 
sense.

    Senator Kaine. You will not take sides on 9/11. Wow.

    Senator Murray asked you some questions about Gardasil, and 
this is a vaccine that is manufactured in Virginia. There are 
other HPV vaccines. I am going to enter into the record a whole 
series of studies from many, many nations that talk about the 
dramatic positive effect of Gardasil. Could I introduce those 
into the record, Mr. Chair?

    The Chair. Without objection.

    [The following information can be found on page 69 in 
Additional Material:]

    Mr. Kennedy. Those studies are on trial right now.

    Senator Kaine. Let me ask a question. These are studies 
from Scotland, Sweden, the U.K., Australia, the United States, 
multiple studies. And then I am going to introduce into the 
record, I guess it is a blog post of yours, ``The verdict is no 
inescapable. Gardasil is killing girls.'' And I would like to 
introduce that into the record, as well.

    The Chair. Without objection.

    [The following information can be found on page 74 in 
Additional Material:]

    Senator Kaine. You have a pretty significant financial 
interest in litigation against Gardasil. You have received 
contingency fees and payments for referring people to lawyers 
suing the manufacturer. And in your ethics vetting----

    Mr. Kennedy. I have never received any money from any 
Gardasil, or any other vaccine lawsuit.

    Senator Kaine. Let me read a quote. This is your words. In 
your ethics vetting for this nomination you said, quote, 
``Pursuant to the referral agreement, I am entitled to receive 
10 percent of fees awarded in contingency cases referred to the 
firm.''

    How can folks who need to have confidence in Federal 
vaccine programs trust you to be independent and science-based 
when you stand to gain significant funding if lawsuits against 
vaccine manufacturers are successful?

    Mr. Kennedy. I have given away all of my rights to any fees 
in that lawsuit.

    Senator Kaine. I yield back.

    The Chair. Next is Senator Scott.

    Senator Scott. Thank you, Mr. Chairman. Mr. Kennedy, good 
to see you again. Thank you for being here before the 
Committee.

    One of the beauties of our Country is we have foundational 
documents that point us in the right direction. I think it is 
the compass that shows us due north, true north.

    The Declaration of Independence mentions life, liberty, and 
the pursuit of happiness as unalienable rights. You and I had a 
serious conversation about the importance of life, and I am a 
pro-life Christian, as you know. And you said, you assured me, 
that your deputies were going to be pro-life. Is that still the 
case?

    Mr. Kennedy. I will implement President Trump's policies. I 
serve at his pleasure. But I share President Trump's view that 
every abortion is a tragedy. I share----

    Senator Scott. My question was, are you having deputies 
within HHS that will be pro-life?

    Mr. Kennedy. As I said, I can tell you exactly what I am 
going to do, so there is no mistake. I am going to implement 
President Trump's policies. President Trump has told me he 
wants to end late-term abortion.

    Senator Scott. Are you hiring people who are pro-life at 
HHS?

    Mr. Kennedy. Yes, I am.

    Senator Scott. Thank you. During the first Trump 
administration, HHS began investing in policies to support 
individuals living with sickle cell anemia. This has continued.

    A career staff person has dedicated time to coordinate 
sickle cell disease-related activities across HHS, and other 
government agencies. Will you commit to continuing to have an 
individual serve in this coordinated role for sickle cell?

    Mr. Kennedy. Yes, and I have worked on sickle cell for 
many, many years. I told you, I have many friends who have 
sickle cell, several of them. I have seen the suffering that 
they endure. One out of every 365 Blacks in our Country has 
sickle cell.

    There are now promising gene therapies that are very, very 
expensive. But it is something that NIH should be 
enthusiastically supporting, that kind of research.

    Senator Scott. Well, you answered my second question, so 
that is great, which was, today, you noticed the FDA gene 
therapies are really a breakthrough, evolutions in science, 
that are really one-time cures. So you support the continuation 
of the research that makes that more available?

    Mr. Kennedy. Absolutely, Senator.

    Senator Scott. Thank you. That is great news. This past 
fall, due to one facility making the majority of our IV drugs 
in the U.S., it was devastated by Hurricane Helene. Hospitals 
and health care facilities across the country faced IV 
shortages.

    Nephron Pharmaceuticals, in Columbia, South Carolina, tried 
to shore up IV support in South Carolina hospitals, by creating 
the Palmetto Line in its facility, to help make IVs for 
hospitals across the state. We must do more proactively, to 
address the shortages and the shortage risks, as well as to 
provide and promote the production of medical products here in 
the U.S. If confirmed, how will you prioritize efforts to 
prevent and reduce drug shortages, including for essential 
medicines?

    Mr. Kennedy. Including?

    Senator Scott. Essential medicines?

    Mr. Kennedy. I mean, President Trump has told me it is his 
priority to bring essential medicine manufacturing back to this 
country. It is a national security threat. So much of it has 
been exported abroad, and particularly to China, and it is a 
priority for him. So it is a priority for me, as well.

    Senator Scott. Very good. Will you commit to fostering 
productive public-private partnerships that can provide the 
government with key information on pharmaceutical supply 
chains, help direct shortages, and improve the long-term 
security and resiliency of the U.S. drug supply?

    Mr. Kennedy. Absolutely, Senator.

    Senator Scott. Thank you very much. And one of the things 
that we study, I had two opportunities to question you. Once, 
yesterday at the Finance Committee. I opted, as opposed to 
seeing you twice, just to see you one time, and spend my time 
doing some other things with that time. But I think it is 
important for us to recognize that we are in a critical place 
as a Nation.

    We are so dependent on other countries for the essentials, 
from health care and beyond, and we ought to work on a strategy 
of resilience across this Nation, in all of the essential 
areas, that we need to become less dependent on the rest of the 
world, and more dependent on ourselves.

    I hope that as your term at the HHS, you will spend a lot 
of time thinking through, and all the layers and complexity 
that is under HHS, how we become more and more resilient as a 
Nation.

    Mr. Kennedy. That is absolutely critical for our national 
security, and for our economy. President Trump is doing that 
through HHS, but also, more importantly, through the Commerce 
Department, and meeting directly with pharmaceutical industry 
leaders, to figure out what kind of incentives that they need, 
to bring manufacturing home.

    Senator Scott. Perfect. Thank you. Mr. Chairman, I yield 
back my 8 seconds.

    The Chair. Then, we will go to Senator Murphy.

    Senator Murphy. Thank you very much, Mr. Chairman. Mr. 
Kennedy, thank you for joining us here today.

    Listen, credibility matters so much, when you lead the most 
important health agency in the world. The Secretary of HHS has 
got to be trusted that he is telling the truth, that he cares 
about science, has no political agenda.

    Mr. Kennedy, I want to go back to some of your testimony 
yesterday, before the Finance Committee, when you either 
feigned ignorance about some very clear statements that you 
have made in the past, or you outright denied saying things 
about the vaccine program that you have undoubtedly said.

    With a day's hindsight, I want to give you another chance 
to be honest about the things that you have said. Senator 
Warnock asked you yesterday if you had compared America's 
vaccine program to the Catholic Church's pedophilia scandal. 
You said you never said that. Now, I am not asking you to 
explain what you said.

    Mr. Kennedy. I did not say I had never said that.

    Senator Murphy. You did not say it? You did not say that? 
Senator Warnock----

    Mr. Kennedy. I did not say that I had not said that, 
Senator. I said, the other question, he asked----

    Senator Murphy. You are--you are doubling--that is fine.

    Mr. Kennedy [continuing]. Me about Nazi death camps.

    Senator Murphy. That is fine. You are doubling down on 
that. You said, Senator Warnock also asked you if you compared 
America's vaccine campaign to the Nazi death camps and the 
Holocaust. Again, you said yesterday you did not say that.

    Mr. Kennedy. I did not say that.

    Senator Murphy. You did not say that. Senator Bennett asked 
you yesterday if you had made an allegation that AIDS is a 
different disease in Africa than it is in America. On that one, 
you said you did not recall.

    Having had a day to think about it, do you recall saying 
that AIDS is a different disease in Africa than it is in the 
United States?

    Mr. Kennedy. I looked up that passage in my book, and found 
that indeed, the diagnostics for AIDS are very different in 
Africa than in the United States, that the list of symptoms is 
almost completely different.

    Senator Murphy. Let me just, I will submit this for the 
record, but having denied the first two statements, let me just 
read what you said.

    You said, in 2013, ``Is it hyperbole to say that the people 
who run our vaccine programs should be in jail? They should be 
in jail. To me, this is like Nazi death camps. Look at what it 
does to the families who participate in the vaccine program. I 
can't tell why somebody would do something like that. I can't 
tell you why ordinary Germans participated in the Holocaust. I 
can't tell you what was going on in their minds.''

    With respect to the pedophilia scandal, you said, ``The 
pedophilia scandal in the Catholic Church is a perfect metaphor 
for what is happening in the United States. The vaccine 
program, it is the same reason we had a pedophilia scandal in 
the Catholic Church, because people were able to convince 
themselves that the institution of the church was more 
important than these little boys and girls who were being 
raped.''

    I do not disagree with Senator Mullin. I do not want an HHS 
Secretary that is not going to question science. I think it is 
important to question science. But you are not questioning 
science. You have made up your mind. You have spent your entire 
career undermining America's vaccine program. You make these 
purposeful comparisons to those that are administering the 
vaccine program to the Nazi executioners, to the people who 
covered up the Catholic Church's pedophilia scandal, because 
you have made a decision that there is a comparison, that there 
is evil in the vaccine program, as there was evil in the 
pedophilia scandal and the Nazi death camps.

    You are not exploring science. You have made up your mind. 
You have spent your entire career trying to undermine these 
programs. The reason that these statements, these incredibly 
aggressive, over-the-top statements matter to us is because it 
just is not believable, that when you become Secretary, you are 
all of a sudden going to be consistent with science. People who 
have spent their career saying these kinds of things, running 
the kinds of campaigns that you have run, do not all of a 
sudden change their stripes.

    Mr. Chairman, I will submit these statements into the 
record.

    The Chair. Without objection.

    [The following information can be found on page 131 in 
Additional Material:]

    Mr. Kennedy. Can I respond to that, Senator? My statement 
about the Catholic Church is almost identical. The findings of 
the Government Oversight Investigation Committee had 
investigated the CDC's vaccine program in 2003. Senator Burton 
was Chairman of that Committee, and he said that certain 
individuals in that program had written off a generation of 
kids, because of, quote, ``misplaced institutional loyalty to 
the CDC, and because of entanglements with the drug company.'' 
So----

    Senator Murphy. But, but you.

    [inaudible]----

    Mr. Kennedy. Let me finish what I am saying.

    Senator Murphy. You equate, you equate----

    Mr. Kennedy. You made some grave accusations----

    Senator Murphy [continuing]. Pedophilia, to the 
administration of vaccines?

    Mr. Kennedy. No, it was not pedophilia.

    Senator Murphy. It was a perfect metaphor.

    Mr. Kennedy. Well, if you have 1 in 36 kids who is 
neurological injuries, and if that is linked, that is something 
that we should study.

    Senator Murphy. Is it a perfect metaphor? Is it a perfect 
metaphor?

    Mr. Kennedy. It is not a perfect metaphor, but there is no 
metaphor that is perfect. But I am pro-vaccine. I am going to 
support the vaccine program. I want kids to be healthy, and I 
am coming in here to get rid of the conflicts of interest 
within the agency, to make sure that we have gold standard, 
evidence-based science. And if you show me where I am wrong in 
this, show me a single statement I have made about science that 
is erroneous.

    The Chair. Thank you.

    Senator Hawley.

    Senator Hawley. Thank you very much, Mr. Chairman. Mr. 
Kennedy, welcome. I enjoyed our conversation last month, in our 
office. And thank you for remembering, as you did again today, 
my uncles who we talked about, Boris and Lauren and Jean, who 
all have recently passed away from Parkinson's, grew up in a 
farm family. That was kind of you to remember them, so thank 
you for that.

    Let me start by asking you a question about children, and 
the safety of children. President Biden's administration, his 
HHS issued a rule--a rule, so it is binding--requiring that 
every doctor in America, including pediatricians who receive 
any kind of Federal funding, so that is anybody who takes ACA 
funding, excuse me, anybody who takes CHIP funding, this is 
almost every health provider in America, requiring them to 
conduct gender transition and gender, so-called, affirming 
procedures. So that means hormones, that means puberty 
blockers, that means surgeries, in some cases. They impose that 
rule on doctors across the country. This has been litigated, 
and it has been actually stopped by a couple of courts, who 
found that it was way outside of HHS's jurisdiction.

    My question to you is, will you rescind this rule that 
imposes this radical policy, and talk about being anti-science, 
this radical policy, on just about every pediatrician in the 
United States of America?

    Mr. Kennedy. Yes, I will. And by the way, that rule is 
anti-science. The most thorough meta-review on gender-affirming 
care has come out in the Cass Report, which reports really 
catastrophic impacts on children, and that is science. It is a 
meta-review of all the existing scientific studies.

    But even more, just from a common sense, if you are a 
patient, do you really want somebody performing surgery on you 
who is morally opposed to that surgery? It does not make any 
sense.

    We need to embrace diversity in this country. Our people 
who believe that is important, I respect them. We should hear 
them out. We should debate. We should have a congenial 
conversation.

    But there are also people who believe that it is an 
atrocity, and they need to be listened to, too. And we need to 
embrace diversity, and make room for diversity in this country, 
and not force people to do things that are against their 
conscience.

    Senator Hawley. Let me just point out that on this rule, 
what is particularly pernicious about it is, we are talking 
about gender transition surgeries, gender transition care on 
minor children. This rule purported to preempt all state law. 
So in states like mine, and many others, where the voters have 
said, ``We do not want gender transition procedures performed 
on minors,'' the Biden administration attempted to use Federal 
money and force pediatricians to do it anyway. So I am glad to 
hear you say you will rescind that rule. I think that is 
terrific for the safety of children.

    Mr. Kennedy. Senator, I would add that we do not let 
children drink. We do not let them drive an automobile, because 
they have bad judgment. They are flooded with hormones. Their 
brains are still in formation. Their sexuality is still in 
formation.

    Allow them to make judgments that are going to have life-
changing, forever implications for the rest of their life at 
that age is unconscionable, particularly in light of the Cass 
Report.

    Senator Hawley. I am glad to hear you say that. Let me ask 
you a question about NIH research, if I may. I know this is 
something that you care a lot about. Under the first Trump 
presidency----

    Mr. Kennedy. I do want to add that people who have gender 
differences should be respected. They should be loved. But 
loving them does not--sometimes, love means saying no to 
people.

    Senator Hawley. Let me, on NIH, under the first Trump 
presidency, HHS stopped new NIH research that involved human 
fetal tissue from elective abortions. Now you were asked about 
this tangentially yesterday by Senator Cantwell, and I want to 
get your quote right.

    You said to her correctly, you said, ``Stem cell research 
today can be done on umbilical cords, and do not need any fetal 
tissue,'' which is correct. My question to you is, will you 
reinstate President Trump's policy, that ensures that no 
Federal research and no Federal tax dollars is conducted on 
fetal tissue taken from elective abortions?

    Mr. Kennedy. Yes.

    Senator Hawley. Fantastic. Let me ask you just about Title 
X. You were asked about this yesterday, too, and I think I 
understand your answer. I just want to be sure I have got it 
crystal clear. Title X, which prohibits the funding of the use 
of Federal taxpayer funding for abortions, or to flow to 
entities like Planned Parenthood, that perform abortions, or 
refer people to abortions.

    You were asked yesterday, if you would support President 
Trump's rule that says no Title X funding for those who perform 
abortions or refer people to abortions. I think your answer 
was, yes, you would reinstate that rule. I just want to be sure 
I am right about that.

    Mr. Kennedy. Yes.

    Senator Hawley. Fantastic. Last point that I have for you, 
on mifepristone, the chemical abortion drug, you said yesterday 
that you would study its safety. I think that is good. I want 
to make an additional point here, just about how the Biden 
administration changed the rules on mifepristone, that I hope 
that you will take into consideration, because you pointed 
out--I am almost done, Mr. Chairman--you pointed out that we 
need to honor the wishes of voters and states, and their right 
to set life policy.

    I just point out that the Biden administration's rule on 
mifepristone, which they did after the Dobbs decision, means 
that in any state, including ones like mine, where voters or 
state legislators say, ``We do not want abortion performed 
after a certain point,'' if the Biden administration rule on 
chemical abortion stands, and you can mail in these abortion 
drugs, without a doctor visit or referral, that means no state 
ban, no state decision, no voter decision is going to matter. 
We are going to have a one-size-fits-all policy set here in 
Washington. I hope you will take that into consideration.

    Mr. Kennedy. I will implement President Trump's policies.

    The Chair. Senator Hassan.

    Senator Hassan. Well, thank you, Mr. Chairman, and Ranking 
Member Sanders. Good morning, Mr. Kennedy.

    Look, I want to just take a moment, because like a few of 
us on this dais, I sit on Finance, as well as HELP. And one of 
the things that was most disturbing to me about yesterday's 
hearing was the suggestion, from some of my friends on the 
other side of the dais, that our intense questioning and 
concerns about Mr. Kennedy were driven by partisanship.

    I have voted for five of President Trump's nominees to date 
in the last couple of weeks. One of them, the new Secretary of 
Transportation, was on the scene last night at DCA. Like all of 
us, I take really seriously our obligation for advice and 
consent. And I am concerned, as Senator Mullin expressed his 
concern, about the need for science to help us move forward on 
critical, critical issues.

    Now, some of you are new to this Committee and new to the 
Senate, so you may not know that I am the proud mother of a 36-
year-old young man with severe cerebral palsy. And a day does 
not go by when I do not think about, what did I do when I was 
pregnant with him, that might have caused the hydrocephalus, 
that has so impacted his life.

    Please, do not suggest that anybody in this body of either 
political party does not want to know what the cause of autism 
is.

    Do you know how many friends I have, with children who have 
autism? The problem with this witness' response on the autism 
cause, and the relationship to vaccines, is because he is re-
litigating and churning settled science, so we cannot go 
forward and find out what the cause of autism is, and treat 
these kids, and help these families.

    Mr. Kennedy, that first autism study rocked my world. And 
like every mother, I worried about whether, in fact, the 
vaccine had done something to my son. And you know what? It was 
a tiny study of about 12 kids, and over time, the scientific 
community studied, and studied, and studied, and found that it 
was wrong.

    The journal retracted the study, because sometimes, science 
is wrong. We make progress. We build on the work, and we become 
more successful. And when you continue to sow doubt about 
settled science, it makes it impossible for us to move forward.

    That is what the problem is here. It is the re-litigating 
and rehashing and continuing to sow doubt, so we cannot move 
forward, and it freezes us in place.

    Now let me move on to my other concerns from yesterday's 
hearing. During yesterday's hearing you really showed a lack of 
knowledge about Medicare and Medicaid. So what is Medicare Part 
A?

    Mr. Kennedy. Medicare Part A pays mainly for primary care 
or physicians, and then, Medicare----

    Senator Hassan. No. So it is about--Medicare Part A is 
seniors' coverage for inpatient hospital care. What is Medicare 
Part B?

    Mr. Kennedy. For physicians and doctors. Medicare Part D is 
for----

    Senator Hassan. That is coverage for outpatient care and 
home health. So what is Medicare Part C?

    Mr. Kennedy. Medicare Part C is a program, where it is the 
full menu of all the services, A, B, C and D for Medicare----

    Senator Hassan. It is Medicare Advantage, which, it is the 
private insurance option for seniors on Medicare.

    Mr. Kennedy. Exactly.

    Senator Hassan. Mr. Kennedy, you want us to confirm you to 
be in charge of Medicare, but it appears that you do not know 
the basics of this program. So let's turn to Medicaid.

    Mr. Kennedy. I just explained the basics.

    Senator Hassan. No, I had to correct you on several things.

    Mr. Kennedy. Oh, you just added information, Senator.

    Senator Hassan. Yesterday, you said----

    Mr. Kennedy. You did not correct me. I did not get it 
wrong.

    Senator Hassan. Mr. Kennedy, my time is limited, and I hope 
the Chair will give me a couple of more minutes.

    Mr. Kennedy. Is this a question, Senator?

    Senator Hassan. Yes, Medicaid----

    Mr. Kennedy. All right. Because you are giving me very 
little time to answer one.

    Senator Hassan. Let's turn to Medicaid. Let's turn to 
Medicaid. You said yesterday to Senator Cassidy, ``Medicaid is 
fully paid for by the Federal Government, and it is not fee-
for-service.'' That statement is false. Do you now understand 
that statement is false? Yes or no?

    Mr. Kennedy. That Medicaid is paid for by the Federal 
Government, I believe I said no.

    Senator Hassan. You said it is fully paid for. Medicaid, in 
fact, sir, is a Federal-state partnership----

    Mr. Kennedy. Well, no. The states, the state has a 
partnership, that is right.

    Senator Hassan. Right. So you were wrong yesterday. So you 
are acknowledging that statement was false, right?

    Mr. Kennedy. I misstated something.

    Senator Hassan. All right, good. So yesterday, when you 
were questioned about Medicaid, you repeatedly dodged 
questions, by saying you want to make it better. Republicans 
are circulating a proposal that would end Medicaid expansion in 
some states, including in New Hampshire.

    I will continue, submit this for the record, but it is 
important to me to understand whether you believe that taking 
Medicaid away from 60,000 people in New Hampshire would make 
Medicaid better. And would it make New Hampshire healthy again?

    I will submit that for the record. Thank you, Mr. Chair.

    [Applause.]

    The Chair. Senator Tuberville.

    Senator Tuberville. Thank you. Thank you, Mr. Chairman. 
Thank you, Mr. Kennedy, for being here. Being a few months 
older than me, I am going to be respectful of your elders.

    Mr. Kennedy. Not by much.

    Senator Tuberville. Yes, not by much, that is right. But 
thank you. Look at this room. We have not had a full room in 
here since I have been in here 4 years, on any hearing.

    Thank you for bringing the light to what this is all about. 
It is about health in our Country. There might have been a half 
a dozen people in, in the last Health and Human Services 
nominee. Nobody was interested. A lawyer who worked from home 
in California, did not do a damn thing, in terms of what we 
needed, when COVID was full steam. So thank you.

    Thank you for getting our young people involved. My two 
boys, 28 and 30, a year or so ago, they were going to vote for 
you for President of the United States. You know why? Because 
you are trying to save their group of people from the chemicals 
and the things that we have in our food. They are fired up 
about it. And you brought light to that, and thank God you have 
done that. You brought importance to what we are doing.

    I coached for 40 years. In the last 4 or 5 years I coached, 
I had never seen like the run on drugs our young people are 
being given by doctors across this country.

    We have a attention deficit problem in this country. 
Attention deficit, when you and I are growing up, our parents 
did not use a drug. They used a belt, and whipped our butt, and 
told to sit down.

    Nowadays, we give them Adderall and Ritalin. They are like 
candy across college campuses and high school campuses. Mr. 
Kennedy, what are we going to do about that?

    Mr. Kennedy. Today, 15 percent of American kids are on 
Adderall, and there is clearly a major problem with over-
prescription, not just with our children, but with our entire 
population. We have 4.2 percent of the world's population, and 
we take 50 percent of the pharmaceutical drugs.

    There is a recent study by Peter Gotzsche, who is one of 
the founders of the Cochrane Collaboration, that showed that 
prescription drugs are now the third-largest cause of death in 
our Country, after cardiac arrest and cancer.

    We are not getting healthier. Americans are getting less 
and less healthy. Seventy percent of pharmaceutical profits 
globally come from our Country, which has 4.2 percent of the 
world's population.

    We are the only country that allows full-scale 
pharmaceutical ads on TV. And we are all being told, ``You can 
make yourself--you can eat anything you want, you can smoke 
anything you want, you can do anything you want, and there'll 
be a drug to fix you in the end.'' And it is not a good 
formula. And our kids are getting sicker and sicker. They are 
not getting better.

    Nobody here, all the people here who are defending this 
current system and defending these pharmaceutical industry 
profits, many of whom are taking huge amounts of money on the 
pharmaceutical industry, millions of dollars, for many of these 
Senators. And none of that, this is not making our Country 
healthier; it is making us sicker. We need to get rid of these 
conflicts, we need good science, and we need good leadership, 
able to stand up to these big industries, and not bend over for 
them.

    Senator Tuberville. Thank you. And you brought to light the 
vaccines over the last couple of years. I will have my first 
granddaughter here in a couple of weeks, and my son and his 
wife have done their research about vaccines, and she is not 
going to be a pincushion. We are not going to allow that to 
happen. But you brought that up.

    But, as you and I talked about vaccines, ``Coach, let's 
empower scientists to do their job. Let's go by what they do. 
Let's do not just do something for the pharmaceutical 
companies.'' So I appreciate you doing that.

    One other thing is, you and I talked about Red Dye No. 3. 
And just happened, you and I talked about that, and a few days 
later in this room, we had the FDA director, and I asked him, 
``Why do we use Red Dye 3 in our cosmetics?'' Or, ``We do not 
use in cosmetics, we use in our food, but we do not use it in 
cosmetics, because it causes cancer. What in the heck's going 
on?'' Well, a few weeks later, because of your insistence, we 
dropped it.

    Mr. Kennedy. Thank you for that, Senator.

    Senator Tuberville. Tell me about dyes and things that you 
are concerned about, because I get more talk about that, than 
anything.

    Mr. Kennedy. We have 10,000 ingredients in our food in this 
country, because FDA employs a standard called the GRAS 
standard, and looks at any new chemical is innocent until 
proven guilty.

    In Europe, they have 400 ingredients in their foods. 
Kellogg's makes Fruit Loops for the United States alone. It is 
loaded with red dye, blue dye, yellow dye, and many, many other 
ingredients. They make the same product for Canada, it is all 
vegetable dyes, and for Europe.

    If you eat a McDonald's French fry in this country, it has 
11 ingredients. You eat the same product in Europe, it has 
three. We are allowing these companies, because of their 
influence over this body, over our regulatory agencies to mass 
poison American children, and that is wrong, it needs to end, 
and I believe I am the one person who is able to end it.

    Senator Tuberville. Thank you.

    The Chair. Senator Kim.

    Senator Kim. Thank you, Chairman. Mr. Kennedy, good to see 
you. I wanted to just start by asking you if you support 
medically assisted treatment to help people get off of opioid 
addiction?

    Mr. Kennedy. Yes, I do.

    Senator Kim. Do you think it is safe? And would you 
consider it to be the gold standard of the approach?

    Mr. Kennedy. The Cochrane Collaboration, which is the most 
prestigious scientific research organization has said that, as 
found in studies, the gold standard is 12-step programs. You 
need an entire retinue, entire menu of treatments because many 
addicts will not respond immediately, at least, to 12-step 
programs, and for many of them, Suboxone and other and even 
methadone are critical interventions that save lives, that get 
addicts off the street, and they should be available as a 
treatment option. I would not describe them as gold standard, 
but I would describe them as medically necessary.

    Senator Kim. Well, this is something. Look, I know we all 
take this very seriously in terms of the plight of opioid 
addiction in our Country, and that is something that I hope we 
can recognize we need to lift up more and more. NIH has said 
over and over again not enough people are doing it, and in 
fact, an NIH published study does call it the gold standard of 
treatment for opioid use disorder.

    You are on a mission against and fighting against chronic 
disease. You talk a lot about obesity. I wanted to get your 
thoughts if you support Wegovy, Ozempic, other similar types of 
GLP-I drugs to fight obesity?

    Mr. Kennedy. The GLP drugs, the class of drugs are miracle 
drugs, but I do not think they should be the first frontline 
intervention for 6-year-old kids for whom they are currently--
that is the standard of practice now. If every American 
qualifies for GLP by being overweight, 74 percent of our 
population will ask for them, and the Federal Government was 
paying for it, it would cost over a trillion dollars a year. It 
would double the insurance costs for employers in this country, 
and it would be a tsunami. And they have a lot of side effects.

    Senator Kim. You said you support it, but that you do not 
see it being the tool of choice for especially young kids. Is 
that correct?

    Mr. Kennedy. Exactly. For people who have morbid obesity, 
for people who have diabetes, absolutely. And they should not 
be prescribed alone without also prescriptions for exercise, 
because otherwise they eat away at muscle. They are 
counterproductive. They go after muscle first. They have all 
kinds of bad side effects. About half the people on GLPs get 
off of them after 2 years, and then there are problems when you 
get off them. So it is----

    Senator Kim. I wanted to----

    Mr. Kennedy. Okay. Go ahead.

    Senator Kim. Yes. I wanted to move on to just clarify some 
statements you made in the past. In the past you said, quote, 
``Wi-Fi radiation does all kinds of bad things including 
causing cancer.'' Do you still stand by that statement?

    Mr. Kennedy. Yes. I won a case in front of the Court of 
Appeals against the FCC on that very issue.

    Senator Kim. 5G, do you feel the same way about 5G?

    Mr. Kennedy. Well, I am just saying, electromagnetic 
radiation does.

    Senator Kim. An RF you think----

    Mr. Kennedy. Yes.

    Senator Kim [continuing]. Causes--another issue that comes 
before your work if you were to be confirmed----

    Mr. Kennedy. Let me just clarify that. It changes DNA, and 
there are scientific studies that have linked it to cancer, 
many of them. But it does other things, including neurological 
injury, that are the frontline injuries that we are most 
concerned about and that are best documented.

    Senator Kim. One other issue that comes before your work if 
you are confirmed, I wanted to ask if you would support and 
continue and expand CDC's role in collecting and disseminating 
data on firearm mortality in the United States. Something 
that----

    Mr. Kennedy. I believe that we need to study the causes of 
mass shootings. We need to study all the causes.

    Senator Kim. You said earlier in response on avian flu, you 
would continue the investments that you would support vaccine 
development. I just want to clarify, does that mean you support 
investments in mRNA vaccine research and development?

    Mr. Kennedy. I am not going to pick a vaccine right now. I 
need to look at all the data. I need to look at safety data and 
advocacy data. But I am going to continue research on every 
kind of vaccine.

    Senator Kim. Mr. Chair, I yield back.

    The Chair. Thank you, Senator Kim.

    Now, Senator Banks.

    Senator Banks. Thank you, Mr. Chairman. Mr. Kennedy, 
President Trump just won a historic election victory and you 
are a big part of it. At the outset of the hearing, you talked 
about those MAHA Moms, that coalition that you led, that 
movement that was behind you that supported President Trump on 
Election Day, giving him one of the biggest electoral college 
votes in my lifetime. You were a part of that. The voters voted 
for President Trump, and President Trump by the way is a man of 
his word. He always follows through on what he says he's going 
to do. And one of the things that he said he was going to do 
was put you front and center in this Administration to make 
America healthy again.

    That is why at the end of the day, a lot of those moms have 
been here yesterday and today from Indiana to support you in 
this movement, and that is why you have my full support. And 
anything other than voting for you, to confirm you, would be 
thumbing my nose at that movement, the millions of people in 
this country who want us to focus on making America healthy 
again.

    One of the things I have thought a lot about, I serve on 
the Armed Services Committee as well, I just left another 
hearing with the nominee to be our new secretary of the Army, 
is the national security risk of an obese nation. Seventy 
percent of our kids are not eligible today to serve in the 
United States military. And the Army, 2 years ago, was 25 
percent off of its recruitment goals, and obesity among our 
kids is one of the reasons why, and I think you would agree.

    My first question for you, this epidemic in this country is 
as much of a public health risk as it is a national security 
risk. Would you agree with that?

    Mr. Kennedy. Absolutely, Senator. And like I said, well, I 
did not say this, when my uncle was President, 3 percent of 
Americans were obese, and today 74 percent are obese or 
overweight. In Japan, 3 percent are obese. So what we are 
seeing here is not happening elsewhere.

    American kids did not suddenly get gluttonous and lazy. 
Something is poisoning them, and we need to figure that out, 
and then we need to end those exposures. We need the gold 
standard science. And all of these MAHA Moms recognize that we 
now have a unique opportunity in history where history now is 
at an inflection point, where we have a unique opportunity to 
reverse this epidemic.

    We know what we have to do. We have to study the additives. 
We have to end the conflicts of interest on the nutrition 
panels and on the drug panels that are loaded with people who 
have corrupt entanglements with the industries they are 
supposed to regulate, that have turned these agencies into sock 
puppets for the industries they are supposed to regulate.

    We need somebody who can come in who can break that 
inertia. We are attracting the most talented group of people 
that work in NIH and CDC and FDA in modern history, and people 
who are not coming there for jobs. They are innovators, they 
are disruptors, they are entrepreneurs, and they are coming in 
not because they want position, but because they actually want 
to change things and give us gold standard science and make 
America healthy.

    Senator Banks. I know you agree that fitness is a part of 
that, a major part of that.

    Mr. Kennedy. Absolutely. My uncle started the Presidential 
Council on Physical Fitness. I won a contest when I was in 
school, I got an award for it, and it was a piece of pride for 
me and for many people in my generation, I am sure coach won 
his.

    Senator Tuberville. [Inaudible.]

    Senator Banks. I want to move on to another national 
security threat. The biggest existential threat to America is 
the Chinese Communist Party. And right now we are importing 
one-third of our medicines from China, and even more of our 
generic drugs come from China. It is a public health risk and a 
national security risk. What can you do as HHS Secretary to 
reduce our reliance on China and help our domestic 
manufacturers?

    Mr. Kennedy. This is a huge priority for President Trump. 
He sees this as perhaps our greatest national security 
vulnerability. Over the past few years, so much of our 
critical, of our essential medicines, the production of them 
and the supply chains, have been exported to China and it is a 
crisis now in our Country. If there is a pandemic, if there is 
a war, if there are any conflicts, China will now be able to 
ransom American health, and that is not a good situation. We 
need to bring that production home, and President Trump is 
committed to doing just that.

    Senator Banks. Well, sir, I think you are going to have a 
tough job. You have my full support. But you have got lawmakers 
against you. You are going to have bureaucrats against you. You 
are going to be working with the limits of the administrative 
state at the Department. But I will have your back and I want 
to work with you to get it done to support----

    Mr. Kennedy. Thank you, Senator Banks.

    Senator Banks [continuing]. This movement. Thank you. I 
yield back.

    The Chair. Senator Blunt Rochester.

    Senator Blunt Rochester. Thank you, Chairman Cassidy and 
Ranking Member Sanders.

    Mr. Kennedy, during our meeting, you shared your vision for 
the Department, and we discussed priorities important to my 
home State of Delaware. But I must say, as a former cabinet 
secretary and a health official in my state, in listening to 
your answers today in this hearing, I am deeply concerned and 
shocked by your apparent lack of understanding of frankly some 
of the basic responsibilities of the Department. It is one of 
the largest, most complex, and it is vitally important. And 
yesterday, during your Finance hearing, and today, you confused 
details about Medicare and Medicaid. You did not know what 
authorities you have under the Emergency Medical Treatment and 
Labor Act, known as EMTALA, and you made false claims about the 
safety of mifepristone.

    However, what concerns me the most as a mom and a first-
time grandmother is your decades long track record of promoting 
vaccine misinformation and profiting from it despite the harms 
that it may cause to American children. And with that, I will 
turn to my questions.

    In yesterday's hearing, you did not seem to know anything 
about EMTALA, even though I raised it with you during our 
meeting last week. So I will give you another opportunity. Yes 
or no, do you believe that a person presenting to an emergency 
room with a severe illness should have any type of emergency 
care needed to save their life?

    Mr. Kennedy. Any American who the law says.

    Senator Blunt Rochester. Yes or no?

    Mr. Kennedy. I am answering the question, any American----

    Senator Blunt Rochester. Yes or no was the direction.

    Mr. Kennedy. Under the law, every American who presents to 
emergency room must be treated, and I can enforce that law, and 
I believe that is the right thing to do.

    Senator Blunt Rochester. Do you agree that a person who is 
experiencing severe pregnancy complications should be able to 
receive emergency care to save their life if that care is an 
abortion?

    Mr. Kennedy. My understanding of President Trump's policy 
is that women----

    Senator Blunt Rochester. I am not asking you President 
Trump's policy. I am asking you what do you believe.

    Mr. Kennedy. Yes, if it is necessary to save the life of 
the mother, of course.

    Senator Blunt Rochester. So you do believe----

    Mr. Kennedy. Of course, yes.

    Senator Blunt Rochester.--yes, they should. Do you commit 
to ensuring that pregnant women will have access to all 
necessary emergency care, including an abortion, if it is 
required to save their life or preserve their life?

    Mr. Kennedy. If it is required to save their life.

    Senator Blunt Rochester. Would you agree that the ability 
to provide quality emergency care for pregnant women is 
essential to preventing maternal mortality?

    Mr. Kennedy. Providing care for pregnant women? We should 
be providing care for pregnant women. President Trump wants to 
do that.

    Senator Blunt Rochester. Bottom line for me, women should 
not be forced to rely on emergency airlifts to other states for 
lifesaving care. And to be blunt, in our meeting, your lack of 
understanding really, again, was very concerning.

    In a 2023 interview, you described yourself saying, ``I am 
a Kennedy Democrat. I believe in labor unions. I believe in a 
strong, robust middle class. I believe in racial justice.'' And 
just yesterday and today during this hearing and the hearing 
yesterday you said we need to respect diversity.

    Mr. Kennedy, the Trump administration recently issued an 
executive order that directs the Federal Government to 
eliminate grants, contracts, policies, programs, and activities 
that include diversity, equity, inclusion, and accessibility. 
This executive order has already caused widespread confusion, 
fear, and uncertainty for health care providers, researchers, 
public health professionals, and service providers across the 
country. You said in our meeting that you understand that 
health disparities exist.

    Yes or no, in your view do the following programs count as 
health DEI programs, programs that target Black women to 
address the maternal mortality crisis?

    Mr. Kennedy. Senator, there are seven----

    Senator Blunt Rochester. Yes or no?

    Mr. Kennedy. I am not going to answer that yes or no. If 
you want an answer, I am happy to give it to you, but it is not 
a yes or no.

    Senator Blunt Rochester. I just want a yes or no.

    Mr. Kennedy. It is not susceptible to a yes-or-no answer. 
If you want to hear an answer, Senator----

    Senator Blunt Rochester. Let me shift this because I only 
have 36----

    Mr. Kennedy. If you want to hear an answer, Senator----

    Senator Blunt Rochester.--I have got 36----

    Mr. Kennedy [continuing]. I am very happy to give you one.

    Senator Blunt Rochester. I have got now 33 seconds. And 
there are people out here who want to understand that if they 
are at a pride parade and they are a health care provider, can 
they give out a brochure? They want to know----

    Mr. Kennedy. If you want people to understand, let me 
answer the question.

    Senator Blunt Rochester. If they are trying to have a 
program in a Black church that is on Martin Luther King Day, 
will they be able to have that program? Will it be funded? Will 
they get in trouble? Will they be fired? That is the cause and 
concern. We all know that it is important that we have a 
healthy country. But as you said----

    Mr. Kennedy. You want me to answer the question, Senator?

    Senator Blunt Rochester. I think I got my answer.

    Mr. Kennedy. Great.

    Senator Blunt Rochester. Thank you, and I yield back.

    The Chair. I will allow the witness to answer.

    Mr. Kennedy. There are seven departments at NIH that 
protect minority health and that seek to eliminate the shocking 
and unacceptable disparities in minority health. I believe in 
helping all people who are vulnerable. The DEI programs that 
President Trump eliminated have spent $63 million with no 
discernible positive impact on human health in this country. 
There are institutions already that exist, and existed before 
President Biden, whose job it is to do just that.

    Senator Blunt Rochester. Will you cut those programs that 
you just referenced?

    Mr. Kennedy. That decision is up to Congress, not to the 
HHS Secretary.

    Senator Blunt Rochester. Thank you. I yield back.

    The Chair. For the record, treating a miscarriage or 
ectopic pregnancy is not an abortion. It is just false. And so 
since I am not into misinformation, I would ask that 
misinformation not continually be repeated.

    Senator Husted.

    Senator Husted. Thank you very much. Mr. Kennedy, thank you 
for the work that you have done to create awareness about the 
food we eat and how it affects our health, particularly with 
our children. And you have helped put that on the American 
agenda rightfully so, and I appreciate that.

    I want to share with you a few statistics. According to the 
CDC, obesity prevalence is around 42 percent among adults with 
lower incomes compared to 31 percent among higher income 
individuals. That the relationship is strong among women, 45 
percent of low income women are obese compared to 29 percent of 
higher income women.

    I know I have had this conversation over the course of my 
public service career many, many times, because at the states 
we run the Medicaid program, that it impacts those health 
statistics. That obesity impacts our programs, the cost of 
them, the quality of life of the people who are served.

    I also get this question about why in the world does the 
Federal Government continue to subsidize programs that lead to 
unhealthy foods, and why do we operate programs in the way that 
we do like with SNAP that pays for foods that we know are 
causing people to be unhealthy?

    I know you do not have the sole authority in this matter. 
The Department of Agriculture and the Congress certainly has an 
impact on that. But could you just shed some light on how you 
see your role in trying to impact that? Because we see that 
these policies are disproportionately affecting poor people and 
the inability to change them and make America healthy again is 
having a disproportionate effect not only on them, but the cost 
of all of these programs we are trying to maintain.

    Mr. Kennedy. Thank you for the question, Senator. NIH has 
been diverted away from studying the etiology of chronic 
disease. So there is almost nothing at NIH, very, very low 
percentage of its budget, a $42 billion budget, that is devoted 
to finding out why we are having this obesity epidemic. We know 
it is an environmental toxin. Epidemics are not caused by 
genes, that genes may provide a vulnerability. You need an 
environmental toxin. Why aren't we devoting science to finding 
out what those toxins are and then eliminating them?

    The focus is on infectious disease, and we almost 
altogether ignore chronic disease, which causes 92 percent of 
the deaths in this country. And during COVID, we had the 
highest death rate of any country in the world. We had 16 
percent of the COVID deaths. We only have 4.2 percent of the 
world's population. No country did as poorly as us. You ask CDC 
why is that? They say because we are the sickest people on 
Earth. The average person who died from COVID had 3.8 chronic 
diseases. American Blacks were dying from COVID greater than 
almost any population in the world, over 3000 deaths per 
million population. The only people worse are Indian 
reservations, which have an even a higher rate, and the only 
person who did worse globally were Samoans.

    The American Blacks were disproportionately impacted 
because they disproportionately have diabetes, obesity, cardiac 
illnesses, and other chronic disease. We need to start studying 
those and we need to get rid of the conflicts in the agency 
that obstructs those studies and that are focused on advancing 
the mercantile interests of the food industry and the 
pharmaceutical industry rather than the health of the American 
people.

    Senator Husted. Well, I would ask you, if confirmed, to 
take a leadership role across the agencies to advise us on what 
policy changes we must make to both not make it worse, but to 
make it better. Because we subsidize, literally we have 
policies as a government that encourages the production of 
foods and the sale of foods to particularly our poorest 
Americans that lead to these problems. We are literally 
creating the problem that we are trying to solve, and your 
recommendations would be very much appreciated.

    Mr. Kennedy. We already have liaisons with the USDA, with 
Brooke Rollins, with whom I have a very good relationship, so 
that we can work collaboratively to reduce the chronic disease 
and the exposures that are causing them.

    Senator Husted. Thank you.

    The Chair. Senator Hickenlooper.

    Senator Hickenlooper. Thank you Mr. Chair, and thank you, 
Mr. Kennedy. Bobby, we share a mutual oldest best friend and I 
respect that affection that you have for him very much. You did 
talk a little longer in your introduction, so I am going to try 
to urge concision because I have got three or four questions.

    As I said, when we met, I am still very concerned about the 
issues around vaccination, but I thought I'd start with the 
ability of Medicare to negotiate drug prices, which was finally 
Okayed in 2022. It will save Medicare plan $100 billion in the 
next 10 years, probably $1.5 billion out of consumers' pockets, 
Medicare patients, in just 2026 alone.

    Yesterday, you said that the Trump administration had 
issued a statement to lowering the cost of prescription drugs 
and continuing the negotiation program. I went back and looked 
at that and it was a statement that mentioned increasing 
transparency and then said they would solicit feedback on the 
Medicare drug price. But nowhere did it say in the statement 
that the Administration was actually going to commit to 
lowering prices. So is that something you still feel that 
negotiation program and lowering those prices is important?

    Mr. Kennedy. I have spoken to President Trump about 
negotiations. He is absolutely committed to negotiating lower 
drug prices.

    Senator Hickenlooper. Great, I appreciate that. You have 
also spoken much on the need to focus on prevention of chronic 
disease, which I think everyone shares. The MAHA movement is 
alive in Colorado as well as everywhere else. People are 
frustrated by the fact that for every dollar we spend on health 
care in this country, and as has been previously said, often 
double any other country, only a nickel goes to prevention.

    When you look at that $100 billion that is going to be 
saved over the next 10 years through the negotiation of 
pharmaceuticals, do you have any ideas of how we could put that 
toward prevention, that revenue?

    Mr. Kennedy. Well, that is a really good question, Senator 
Hickenlooper. There are two things, there are two areas----

    Senator Hickenlooper. I am going to give you 40 seconds 
because I have got two more questions.

    Mr. Kennedy. Okay. Medicaid, Medicare, and Obamacare 
should, we should be moving to value-based care, which includes 
prevention. And then the other arm is that NIH, CDC and FDA, 
which should identify the toxins that are contributing chronic 
disease and eliminating them.

    Senator Hickenlooper. Great. Another short question with 
mifepristone, which has been described and discussed a lot 
already, and I understand your commitment to follow the policy 
of the President, but he has other tools at his behest. If 
there needs to be another study or looking at the other 
existing studies, will you make sure that there is no bias, to 
the best of our human ability, to twist those results in any 
way to support that policy? And I am speaking now just about 
the defense of science to make sure that those reviews are 
fair.

    Mr. Kennedy. Senator, I will commit to you here today to 
review prior to approving any study at NIH to allow you to 
approve the protocols and the researchers and help us choose 
the research. All I want is good science, and I would love 
input from this Committee on any study that we do. There are 
many ways that studies are flawed, and you can correct those at 
the outset in a lot of ways. So absolutely, I will work with 
you to make sure that it is science that you are satisfied with 
and I am satisfied with.

    Senator Hickenlooper. That shows that this is the first 
time you are being considered for a Cabinet position because no 
other person would ever solicit and willingly approve our 
participation.

    Mr. Kennedy. I am going to make that commitment. I know the 
hazard of it, but I am going to do it anyway.

    Senator Hickenlooper. I will hold you to it.

    [Applause.]

    Senator Hickenlooper. Now let me get to the vaccines, and I 
think this is crucial because I think there is widespread 
distrust and increasing destruction in the scientific 
community. I am a scientist, some have argued that I am the 
only scientist in the Senate left that actually, I have written 
research papers and peer-reviewed journals, I think I 
understand how it works. And that is, a healthy skepticism is 
useful, but we want to make sure that is a healthy skepticism.

    Yesterday in the discussion about Lyme disease you said in 
your discussion that it was formulated to be a militaristic 
bioweapon, that you had heard that in three books but you had 
not read through. And I think at a certain point, if you are 
going to be an activist or some people would say a prophet, 
that what you say becomes promoting something, promoting an 
idea. And I think when you have only read three books, or 
little bits of the three books, not the whole three books, 
isn't that reckless? I mean, aren't you then promoting this 
anti-science, the conspiracy about Lyme disease in this case, 
but the same thing about some of these vaccine issues?

    Mr. Kennedy. Like I said, I never endorsed the issue. I 
said it is out there. For me not to acknowledge that is a form 
of manipulation. For me to say there is no question here, the 
government-proclaimed orthodoxy is true, anybody who believes 
it is a dissident.

    Senator Hickenlooper. I am out of time. And I appreciate 
the things. I just leave it that just because we do have 1 out 
of----

    Mr. Kennedy. I understand.

    Senator Hickenlooper [continuing]. Wait, 1 out of 36 kids, 
that, again, we cannot explain what it was. It is not fair to 
put that blame onto all kinds of things, but focus on 
vaccinations. I yield back.

    The Chair. Dr. Moody. Senator Moody, I am sorry.

    Senator Moody. Good morning, thank you for joining us, and 
thank you for sitting down with me and spending so much time 
with me. In my office, it has been an overwhelming week. I am 
the junior-most Senator on this Committee and certainly you 
treated me no differently than the Chairman, and I am grateful 
to you for that.

    One of the topics we spent a long time talking about was 
your assurance and knowledge and understanding that it was the 
states that in fact gave limited power to the Federal 
Government and not the other way around, and your assurance 
that you will not use your agency or any organization that 
falls under your leadership to interfere with the state's 
ability to set policy or any autonomy of the state to enact or 
enforce laws that protect the lives of the unborn. I think that 
is a concern of many. It was certainly one of mine. And you 
allayed those concerns and I appreciated you spending so much 
time with your assurances.

    I want to turn to some of the discussions regarding many, 
which would say the government and health professionals did 
great harm to science and medicine in the wake of COVID-19. 
America, I believe, is at a crossroads where unfortunately 
things that used to not be particularly political like science 
and medicine, are now politicized to the point where reality is 
distorted, what you believe has little to do with truth or 
facts and everything to do with your party. My hope is that 
you, Mr. Kennedy, and President Trump's other appointees will 
break this cycle that is threatening America and destroying its 
promise.

    Certainly while I was the Attorney General of Florida, I 
had the responsibility in numerous areas to seek the truth and 
bring justice. Working with Governor DeSantis and other 
leaders, we launched grand jury investigations. And I want to 
bring your attention to one of those grand jury investigations 
that dealt with COVID-19 and the actions of government 
officials and Big Pharma. And remember that a grand jury 
investigation is made up of laypeople, 18 in this instance that 
were brought from different communities in Florida, and I just 
want to read into the record one paragraph for your 
consideration.

    ``Much of the goodwill by the COVID-19 vaccines was 
squandered in the following years as sponsors and Federal 
regulators collaborated to push out booster after booster based 
on shallow and accurate safety and efficacy data, sidelining 
their own ombudsman to get doses of these vaccines into the 
arms of every American, regardless of their underlying risk 
from the SARS COVID-2 virus.

    ``Erstwhile gatekeepers became cheerleaders, as Federal 
regulators with the trust of the American people dragged their 
feet and publicly confirming important safety signals and then 
sanctioned long delays and mandatory post-marketing studies 
involving those very same signals. Sponsors abused the 
scientific journal system and regulatory reporting requirements 
delaying public disclosure of serious adverse events from their 
clinical trials for years,'' and I could go on.

    Mr. Kennedy, as Secretary of Health and Human Services, 
will you use your position to squelch medical or scientific 
views with which you disagree?

    Mr. Kennedy. Never. And this is relevant to what Senator 
Hickenlooper was asking me. We have tried this system where 
government lies to Americans or where they tell them about it, 
that they have it with a level of assurance they do not feel 
themselves, and it is not working.

    The initial COVID vaccine, Americans flocked to get it. I 
think 90, 95 percent of Americans went and got it. CDC has now 
recommended an eighth booster and only 23 percent of Americans 
at most are taking it. It is because 77 percent of Americans no 
longer trust CDC. That is not a good thing.

    If we want uptake of vaccines, we need a trustworthy 
government. In other nations where they do not have mandates 
like Japan and a few years ago in Germany, they had the same 
uptake as we did or without any mandates because people trust 
their government. That is what I want to restore to the 
American people and the vaccine program. I want people to know 
if the government says something, it is true. It is not 
manipulative.

    Senator Moody. I do not----

    Mr. Kennedy. It is not a noble truth, which is what a 
certain doctor called his lies.

    Senator Moody. Certainly, I do not have a lot of time, but 
I would like to bring your attention to another grand jury 
investigation that we did in Florida, and I would ask Mr. 
Chairman to enter into the hearing record, two grand jury 
reports related to human trafficking and COVID-19, to have your 
commitment that any organization under your purview will work 
with the states, not impede our investigations, to ensure that 
children that are in this country, that are minors, that are 
under your purview, that you will communicate with us so that 
we can have the information to make sure that they are safe, 
unlike in an investigation where Biden blocked us in this 
Administration at every turn to keep us from getting 
information showing that they trafficked children that were 
brought into this country and lost dozens. Tens of thousands of 
children, lost track of them and never gave us in DCF, in 
Florida the information so that we could protect them, to have 
your word that you will protect children if you are given that 
responsibility.

    Mr. Kennedy. Absolutely. And President Trump is determined 
to find the 300,000 children who were lost over the past 4 
years and to return them to their parents.

    Senator Moody. Thank you.

    The Chair. Without objection, it can be entered into the 
record.

    [The following information can be found on page 147 in 
Additional Material:]

    The Chair. Senator Markey.

    Senator Markey. Thank you. Yesterday under oath, you told 
my colleagues on the Senate Finance Committee that when you 
went to Samoa in June 2019, it, quote, ``had nothing to do with 
vaccines.'' Will you confirm again today that the trip had 
nothing to do with vaccines?

    Mr. Kennedy. My purpose in going down there had nothing to 
do with vaccines.

    Senator Markey. Well, I have in my hand a blog post in 
2021, in which you say the anti-vaccine group Children's Health 
Defense, which you ran, offered to fund the purpose of the trip 
to Samoa. And in the same post you state that the trip was 
ultimately arranged by an anti-vaccine activist. And during the 
trip you met with an activist who later compared vaccine 
mandates to Nazi Germany. And during that trip you also 
discussed vaccines with the Prime Minister and the director 
general of health of Samoa. The Director General of Health said 
you specifically discussed your views on vaccine safety fears. 
And with unanimous consent, I will submit those blog posts, Mr. 
Chairman, into the record.

    The Chair. Without objection.

    [The following information can be found on page 131 in 
Additional Material:]

    Senator Markey. I am going to ask you--I will ask you 
again. Did the trip have nothing to do with vaccines as you 
told my colleagues [inaudible]?

    Mr. Kennedy. Nothing to do with vaccines. And if you want 
me to explain, I will.

    Senator Markey. Did it have anything to do with vaccines?

    Mr. Kennedy. No, it did not.

    Senator Markey. It did not.

    Mr. Kennedy. Well, my purpose in the trip was not to--I 
ended up having conversations with people, some of whom I never 
intended to meet.

    Senator Markey. Again, an anti-vaxxer helped finance your 
trip?

    Mr. Kennedy. Well, you call them an anti-vaxxer. That is 
not what they would call themselves. They call themselves safe 
vaccine advocates. I went down there, CHD, that group, offered 
$6 million--obtained a grant for $6 million to install aid to 
digitalize the health records of Samoa.

    Senator Markey. Let me just go on here.

    Mr. Kennedy. It is state-of-the-art medical informatic 
system. That was the purpose of my trip, Senator.

    Senator Markey. Thank you, Mr. Kennedy. I got it. Thank 
you.

    Let me just follow through now, 2019. So now, in October 
2019, the CDC declared a measles outbreak in Samoa. In 
November, Samoa started a mass vaccination campaign to stop the 
outbreak. That same month, November 2019, after 16 people had 
already died from the outbreak and Samoa was trying to respond 
to the crisis, you sent a letter to the Prime Minister of Samoa 
stating that, quote, ``It is a regrettable possibility that 
these children are causalities of the vaccine.'' By unanimous 
consent, I will introduce that letter into the record.

    The Chair. Without objection.

    [The following information can be found on page 137 in 
Additional Material:]

    Senator Markey. As Samoa was trying to contain the 
outbreak, you were saying that it was the fault of the vaccine 
rather than the absence of vaccinations that caused the 
outbreak in Samoa in the same year you visited Samoa.

    Mr. Kennedy. I replied to that, Senator----

    Senator Markey. Well, hold on, let me just finish. The 
death count in Samoa grew to 83, and ultimately volunteers in 
New Zealand sent tiny coffins to help bury the dozens of 
children who died.

    The Samoan Director General of Health later said, with his 
last name and the status attached to it, ``People will believe 
him. People will believe Robert Kennedy.'' And a New Zealand 
vaccinologist later said the impact of your role was 
devastating.

    Your name and your profile helped fuel a measles outbreak. 
You scared people from taking a vaccine. It slowed the public 
health response, and children died. You have taken no 
responsibility thus far. And if an outbreak occurs in the 
United States, I have no evidence that you would not use your 
role as Secretary to spread dangerous misinformation.

    That one incident, from my perspective, disqualifies you 
from holding any position in health care, much less the No. 1 
health official in the United States. And 75 Nobel Prize 
winners in science have said very clearly that you should not 
be confirmed, that it would be dangerous for you to have----

    Mr. Kennedy. You should look at their conflicts, Senator. 
You should look at their conflicts of those individuals.

    Senator Markey. Well, 75 Nobel----

    Mr. Kennedy. You should look at who financed that letter.

    Senator Markey [continuing]. 75 Nobel Prize winners. And by 
the way, of a high percentage of the medical community in 
Boston, the health capital of the United States and the world, 
have said the same thing about your qualifications. They are 
saying to me they do not want tiny coffins, as well. Neither do 
I.

    That is the basis of my reservations about you and the 
reason why I am going to vote no on your candidacy, because I 
just think it is too dangerous to run the threat that 
misinformation is spread in our Country in the same way it was 
in Samoa.

    The Chair. Senator Murkowski. And let me compliment Mullin 
and Murkowski. They have stayed here the entire conference and 
they are not obligated to, like the two of us, not that we 
would not have otherwise. But Senator Murkowski, you please.

    Senator Murkowski. Thank you, Mr. Chairman. And I think 
these are exactly the types of forums that we all need to be 
engaged in from start to finish because----

    Mr. Kennedy. Can you speak up, Senator Murkowski.

    Senator Murkowski. There has been considerable discussion 
here about many issues, certainly, a lot about vaccines. I care 
deeply about making sure that our vaccines are safe. The 
efficacy of them, the availability of them, how we disseminate 
them is particularly important in a very, very rural state like 
mine. You have experience there. You understand that.

    I am particularly attracted by the focus on chronic 
diseases. We know that if we can do a better job with chronic 
diseases, maybe some of the other things that we are 
susceptible to in the infectious diseases area, we are able to 
perhaps pull back a little bit on that.

    But our reality is in order to make this country healthy 
again, it is a focus on everything. It is the prevention. It is 
the necessity of coming up with these lifesaving vaccines that 
are going to be so critically important. It is personal care. 
It is food. It is exercise. It is all of the above. And we have 
got to figure it together. We do need to shake some things up, 
but we also need to give a level of confidence.

    This is what I am hearing from so many of my colleagues who 
have raised the issue of vaccines. We have made some 
considerable gains in my State of Alaska with vaccinating the 
many people in very rural areas where one disease outbreak can 
wipe out an entire village. We saw this in 1918, with the 
Spanish flu, and that is why everyone was rattled to the core. 
Villages were shut down entirely, entirely during COVID because 
of the fear of transmission. And so they are looking for these 
lifesaving ways and means.

    When there is a lack of confidence, when there is a doubt, 
it is like, ``Well, what do I do?'' And so we are pulling back 
then on, again, these areas where we can work to prevent some 
of these deadly diseases that we thought we had wiped out years 
ago.

    We have dramatically reduced diseases in my state like Hep 
A and B and meningitis. We are just now getting through a tough 
bout of whooping cough that came around to the state. Now there 
is a scare in the peninsula in Alaska about a measles outbreak. 
So we cannot be going backward with our vaccinations that will 
allow for this level of prevention and protection.

    I am asking you, you are clearly an influencer. You would 
not be in this position today. But you can see how your podium, 
your platform, your voice can influence so many. So I am asking 
you on the issue of vaccines specifically to please convey, 
convey with a level of authority and science, but also with a 
level of conviction and free of conflict and free of political 
bias that these are measures that we should be proud of as a 
country, proud of as a country.

    Look to what President Trump was able to do with the COVID 
vaccine. It was extraordinary, and it did save lives.

    I need time for a question. I am asking you to focus on how 
you can use your position to provide for greater levels of 
confidence to the public when it comes to these lifesaving 
areas. So I am going to pivot to a question that you can 
answer. This relates----

    Mr. Kennedy. I can answer that one too.

    Senator Murkowski. I know, but I have 43 seconds and no one 
has talked about our Native populations. When you look at our 
health statistics, whether it is Alaska Natives or whether it 
is American Indians, our health statistics in this country, you 
know very well, because we talked about them, are not where 
they need to be. And it is in all categories. It is infectious 
disease. It is tuberculosis. It is Hep C. It is mental health. 
It is depression. It is substance use. It is sexually 
transmitted diseases. It is hypertension, stroke. It is so deep 
and it is so challenging and it is so hard.

    You have received support from Native American tribes. You 
have been in these areas. You have been quoted. And I would 
like for your comment on this as quoted saying, ``As far as 
budgeting for Indian country,'' you said you would immediately 
triple the budget to support tribes. Can you expand on this 
pledge and the commitment? Because this is an area where we 
have truly left our Native people behind when it comes to their 
health and their health outcomes.

    Mr. Kennedy. Thank you, Senator. And this is an issue, as 
you and I talked about, that is very important. It has always 
been a priority for me. I spent 20 percent of my career working 
on Native issues. I was one of the founding editors of Indian 
Country Today, which is the biggest Indian newspaper. My father 
and uncle, Ted Kennedy, my father, were deeply, deeply critical 
of the functioning of the Indian Health Service back in 1968 to 
1980. And nothing has changed. Nothing has gotten better.

    I am going to bring in a Native at the Assistant Secretary 
level. I would like to get them actually designated as an 
Assistant Secretary for the first time in American history, 
make sure that all of the decisions that we make in our agency 
are conscious of their impacts on the First Nations.

    I have spent a lot of time in your state. It is my favorite 
place to go. I have been up with a Gwich'in representing the 
Gwich'in people up in Arctic Village and been all over the 
state in the remote areas. I understand Alaska, the unique 
needs of Alaska because of remote health care, because some of 
these areas are not even accessible except for airplane. They 
do not have ambulance services that the Federal Government 
needs to pay attention to financing, transportation, the 
unusual ways that are required there, and that we really need 
to focus on telemedicine and AI, make sure that even in remote 
places in Alaska, native people can get high quality health 
care. And we can do that today, and I look forward to working 
with you on those issues and others.

    Senator Murkowski. Thank you, Mr. Chairman.

    The Chair. Senator Murkowski sets the record for going 
over.

    Senator Alsobrooks.

    Senator Alsobrooks. Sorry. Good morning. Thank you, Mr. 
Chair.

    Mr. Kennedy, I was struck by your comments during our 
meeting last week.

    Mr. Kennedy. The what?

    Senator Alsobrooks. I was struck by your comments in our 
meeting last week where you made it abundantly clear to me that 
you intended to clean house of the professional scientists at 
the National Institutes of Health, which you know is 
headquartered in the State of Maryland and employs thousands of 
hardworking Marylanders. I, for the record, believe in 
scientists and I believe in doctors, and I trust them over 
politicians without medical degrees.

    You talked about bad science and bad scientists and in 
fact, you specifically said to me in response to my question 
that you intend to replace the bad scientists with the good 
scientists. And so I want to ask you, in your opinion, what 
makes a scientist or a doctor qualified to serve at the 
National Institutes of Health?

    Mr. Kennedy. A scientist who is devoted to empirical 
methodology, to evidence-based science, scientists who 
understand the importance of replication, importance of 
publishing raw data and being open and transparent about it, 
the importance of publishing peer review. NIH has overseen, 
over the past several years, the precipitous decline in 
American health. There are 91,000 people at HHS. And are you 
suggesting that some of them should not be held responsible for 
that decline? They were in charge of protecting our health----

    Senator Alsobrooks. Let me just insert here.

    Mr. Kennedy. Let me just finish.

    Senator Alsobrooks. Let me just say this because I only 
have 3 minutes left. I do not set the rules here, but I ask the 
questions. And the question is really whether you intend, as 
you said, to substitute essentially your judgment for the 
judgment of these professional scientists and doctors.

    Mr. Kennedy. Well, I am not going to substitute my judgment 
for science. Of course, I am not going to do that. What I am 
going to do, listen, the New York Times just did an article 
last week talking about the fraud, the 20-year fraud, 800 
fraudulent studies produced by NIH on amyloid Blacks and not 
allowing any other hypothesis about the cause of Alzheimer's to 
be explored.

    Senator Alsobrooks. Well, how would you decide, Mr. 
Kennedy, which scientists are bad scientists? Are they the ones 
who disagree with you?

    Mr. Kennedy. The ones who are corrupt, the ones who have 
been doing science like the amyloid Black studies that were 
fraudulent. We should not----

    Senator Alsobrooks. Let me ask you a question. Do you have 
a medical degree?

    Mr. Kennedy. Do I? No.

    Senator Alsobrooks. Okay, let me go to the next question. 
The Heritage Fund has compiled a watch list of Federal 
employees to go after Federal staff. Is there a watch list for 
Federal staff at HHS?

    Mr. Kennedy. Not that I know of.

    Senator Alsobrooks. Have you or has anyone in the 
Administration developed a list of career scientists or Federal 
staff that you would target for termination?

    Mr. Kennedy. Not that I know of.

    Senator Alsobrooks. Let me just ask you another question. 
Now, your failed Presidential campaign has been raising money 
to try and cover your debts, and you were questioned about this 
yesterday and failed to answer a question that Senator Warren 
asked you. And so I want to ask you again regarding these e-
mails that you have sent to raise money. How much has your 
Presidential campaign made fundraising off of this 
Administration's complete disregard for the workforce at HHS?

    Mr. Kennedy. Excuse me, I did not hear the question. The 
last part.

    Senator Alsobrooks. How much money has your Presidential 
campaign made off of fundraising off of this Administration's 
complete disregard for the workforce at HHS?

    Mr. Kennedy. Zero.

    Senator Alsobrooks. Okay. Mr. Chair, I would like to ask 
unanimous consent to enter into the record two e-mails from 
this week and the week before regarding fundraising that you 
are currently doing through your Presidential campaign.

    The Chair. Without objection.

    [The following information can be found on page 362 in 
Additional Material:]

    Senator Alsobrooks. Finally, I want to ask you, you said 
to--you were on a show on February 26, 2021, an interview with 
Dr. Judy Mikovits where you said the following, and I quote, 
``We should not be giving Black people the same vaccine 
schedule that is given to whites because their immune system is 
better than ours.'' Can you please explain what you meant?

    Mr. Kennedy. There is a series of studies, I think most of 
them by Poland, that show that to particular antigens that 
Blacks have a much stronger reaction. There are differences in 
reaction to different products by different races.

    Senator Alsobrooks. I have 17 seconds left. Let me just ask 
you then. So what different vaccine schedule would you say I 
should have received? What different vaccine schedule should I 
have received?

    Mr. Kennedy. I mean, the Poland article suggests that 
Blacks need fewer antigens than----

    Senator Alsobrooks. This is so dangerous.

    Mr. Kennedy. You get the same measles vaccine----

    Senator Alsobrooks. Mr. Kennedy, with all due respect, that 
is so dangerous. Your voice would be a voice that parents would 
listen to. That is so dangerous. I will be voting against your 
nomination because your views are dangerous to our state and to 
our Country.

    Mr. Kennedy. That is the truth of science. I mean, do you 
think science is dangerous, Senator? This is published peer-
reviewed studies.

    Senator Alsobrooks. I yield.

    The Chair. Senator Collins, who would've been here the 
whole time, but she was in an Intel Committee.

    Senator Collins. Thank you.

    The Chair. Senator Collins.

    Senator Collins. Thank you, Mr. Chairman. Mr. Kennedy, 
welcome, first of all.

    I agree with you that there needs to be more focus on 
chronic diseases like diabetes, like Alzheimer's. But it 
concerns me when I read a quote from you that says, ``I am 
going to say to NIH scientists, `God bless you all. Thank you 
for your public service. We are going to give infectious 
disease diseases a break for about 8 years.' Don't we need to 
do both? Don't we?

    Mr. Kennedy. Yes. Absolutely, Senator. The problem is 
there's been an imbalance. We have devoted all of these dollars 
to infectious disease and to drug development to make NIH an 
incubator for the pharmaceutical industry and very little to 
chronic disease. But chronic disease is 92 percent of deaths in 
our Country. It is 9 out of every $10 we spend on our budget. 
Why are we not devoting at least equivalent studies to 
determining the etiology of our chronic disease? It just seems 
like common sense to me.

    Senator Collins. I would point out that in many cases, it 
is Congress rather than HHS who sets the funding levels for 
various diseases.

    Mr. Kennedy. But NIH has panels that decide who gets 
funding, not Congress, Senator.

    Senator Collins. I want to share with you a discussion that 
I had with a Maine pediatric nurse practitioner. She raised the 
concern that if people are discouraged from getting their 
children vaccinated, we will lose the herd immunity in a 
classroom. And that means that a child who may be 
immunosuppressed and cannot get a vaccine are at risk of being 
in a classroom with an unvaccinated child and thus at risk of 
getting the infectious disease because we have lost the herd 
immunity. What would be your response to that?

    Mr. Kennedy. My response is that vaccine uptake for the 
COVID vaccine, for example, is down to 23 percent and all 
vaccines are dropping, and they are doing that because people 
do not believe the government anymore. We need good science and 
I am going to bring that in. I am going to restore trust and 
that will restore vaccine uptake.

    Senator Collins. Well, you are certainly correct about what 
happened with the COVID vaccine, but let me switch to the polio 
vaccine. Do you think that the polio vaccine is safe and 
effective?

    Mr. Kennedy. Yes, I do.

    Senator Collins. Would you seek to reduce its availability 
in any way?

    Mr. Kennedy. No, not at all.

    Senator Collins. The State of Maine has seen a steady and 
disturbing increase in Lyme disease cases over the past decade. 
We talked a little bit about this in my office. In 2023, Maine 
had a record number of Lyme disease cases, nearly 3,000 
reported cases. Fortunately, there is a promising vaccine trial 
for Lyme disease that is underway at Maine Health in Portland. 
Access to a Lyme disease would be a monumental step forward in 
reducing the burden of this disease, which can have lifelong 
effects. I have seen it in members of my own family.

    As HHS Secretary, if confirmed, what influence would you 
exercise over new vaccine approvals such as one for Lyme 
disease?

    Mr. Kennedy. Senator, you and I have talked about this 
issue. I have had Lyme disease. I lived in the epicenter of 
Lyme disease. Every member of my family at my immediate family 
has had Lyme disease. I had a son whose face was paralyzed for 
a year. I have a son today who has been suffering with 
devastating effects from Lyme disease for 2 years. There is 
nobody who will fight harder to find a vaccine or a treatment 
for Lyme disease than me.

    Senator Collins. I very much appreciate that assurance, and 
I am sorry that your own family has been so adversely affected. 
In Maine, we have a lot of people who work outside and work in 
the woods, and ticks are everywhere, so this is a very 
important issue to me. Thank you.

    Mr. Kennedy. To me too, Senator.

    The Chair. We are almost to the end. Let me acknowledge, 
Senator Moody has also been here the whole time, and so thank 
you, Senator Moody.

    Senator Moody. I have to go to the Sheriff. But thank you 
for the recognition.

    The Chair. Yes, just incredible diligence. Thank you.

    Both Senator Sanders and I will have a couple questions and 
then we will each have a closing statement and then your long 
national nightmare will be over. So anyway.

    First a couple more of commit-type questions. If you are 
confirmed, do you commit that you will not work to impound, 
divert, or otherwise reduce any funding appropriated by 
Congress for the purpose of vaccination programs?

    Mr. Kennedy. Yes.

    The Chair. Do you commit that you will not impose new grant 
conditions outside of congressional direction for state, local, 
or global entities that in any way limits restricts or rescinds 
access to vaccines or vaccine promotion programs?

    Mr. Kennedy. Yes.

    The Chair. Then, the nice thing about listening to all of 
this, let me ask this. I have been impressed. One, you have 
handled yourself very well. I have been impressed that on many 
things you are familiar with recent medical data, but on other 
things you have not been.

    Let me bring up two things that are very pertinent now. 
While sitting here, I went up to look at the medical literature 
on these issues and here's a title, ``Why Parents Say No to 
Having Their Children Vaccinated against Measles: A Systematic 
Review of the Social Determinants of Parental Perceptions on 
MMR Vaccine Hesitancy.'' And they found that fear of autism is 
a major driver for vaccine hesitancy among those with a college 
education or higher, influenced by internet, social media 
narratives over physician-based vaccine information.

    I will go back to something I said earlier. You have got a 
following, man. There are a lot of people that look to you for 
do I get vaccinated or not, people that I kind of know. But 
here it says, it is not just my anecdote, it is actually out 
there. But when I raised and you said, well, if I show you the 
data, you will change your--because I asked, will you 
unequivocally, without qualification, say that measles vaccine 
does not cause autism. And you said if I show you the data.

    Mr. Kennedy. I will publicly apologize for that, Senator. I 
was wrong.

    The Chair. Here is a meta-analysis from 2014, and you 
quoted Cochrane on several occasions, which for people watching 
is a meta-analysis, a meta meaning they look at everything and 
then they come to a conclusion based upon as much facts as they 
can get. And here is such a study. And the title tells it all. 
``Vaccines are not associated with autism: An evidence-based 
meta-analysis of case-control and cohort studies.'' And they 
ended up looking at five cohort studies with roughly 1.2 
million children. Now, this is from 2014, and it has a whole 
bunch of articles it references.

    Then I got a text from a former employee of the NIH, I 
emphasize the former, who says that in early in the President 
Trump's term, you and colleagues sent 90 papers for review by 
people at NIH. They felt like these, the NIH folks felt that 
without exception, they were severely lacking methodologically 
and/or found that they indeed showed the safety of these 
vaccines.

    ``We tried to engage Mr. Kennedy, but his colleagues 
refused to acknowledge the expertise of dozens of NIH 
scientists we made about those papers.''

    Now you are a smart guy. You are reading the medical 
literature, and you are coming up with recent medical 
literature on certain issues. But here is both an older article 
summarizing lots of older articles that have come out since the 
original refuted Wakefield article in The Lancet regarding 
measles and autism.

    Here is somebody who--you know, it's he said, he said--but 
somebody who said that previously you have had this presented 
to you.

    Back to me, I am a doc trying to understand. Convince me 
that you will become the public health advocate, but not just 
churn old information so that there is never a conclusion, as 
Senator Hassan suggested, but that will become the influencer 
for people to believe no, there's 1.25 million kids studied and 
there is no autism associated with measles. You tell me. You 
see what my question is in there.

    Mr. Kennedy. Senator, I am going to be an advocate for 
strong science. You show me those scientific studies and you 
and I can meet about it. And there are other studies as well, 
and I would love to show those to you. There was a study that 
came out last week of 47,000 9-year-olds in the Medicaid system 
in Florida, by I think a Louisiana scientist called Mohsen that 
shows the opposite. Oh, there are other studies out there. I 
just want to follow the science. And I will do, if the science 
says, and I am wrong about what I have said in the past, as I 
said, I will publicly apologize.

    There are many times I have been wrong about science. If 
you look at my Instagram account, when I am wrong, I apologize 
for it. And I say ``I was wrong.'' I do not have any problems. 
Science is a process of challenging hypotheses with new 
evidence, and scientists have to be able to admit when they are 
wrong. Epidemiological studies the Institute of Medicine has 
had repeatedly in 2013, 2017, when they investigated this, has 
asked CDC to do certain studies, animal studies, bench studies, 
observational studies, studies of the vaccine safety data link. 
CDC has not done that. I want them to do that and I want the 
best science. I can guarantee you, on my word of honor, that if 
you show me science that says that I am wrong, I am going to 
say I was wrong. I do not have any problem. There is nothing 
that would make me happier. We need to be able to look at the 
science and get IOM involved, the National Academy of Sciences. 
They are the ultimate arbiter of safety.

    The Chair. What was that?

    Mr. Kennedy. One of the things we need to do, I think, is a 
subject that we have not talked about here. Why do not we know 
what is causing this epidemic? Why has the CDC not been looking 
at other hypotheses to determine the etiology of why we have 
had this dramatic 1000 percent increase in this disease that is 
destroying our kids, is probably the biggest issue? Why do not 
we know the answer after 30 years of steady rises in autism 
rates? Why do not we know the answer to that? We should know 
the answer.

    The Chair. What was that last article that you mentioned?

    Mr. Kennedy. That article is by Mawson, M-A-W-S-O-N.

    The Chair. It is regarding measles and what?

    Mr. Kennedy. No, it looks at the entire schedule and it 
says--it is a study of 9-year-old boys, 47,000 9-year-old boys 
from the Florida health care data.

    The Chair. Okay, let me--Senator Sanders.

    Senator Sanders. Thank you. And I find myself in the 
unusual and uncomfortable position of having to agree with 
Senator Cassidy's line of questioning.

    Mr. Kennedy, in an interview in July 2023, you stated, 
quote, ``I do believe autism does come from vaccines,'' end of 
quote, and you have praised a gentleman named Andrew Wakefield 
for his research. When you talk about the need to be science-
based to get our information, good information, to make 
decisions, what studies have you utilized to come to the 
conclusion that vaccines cause autism?

    Mr. Kennedy. I am happy to sit down with you.

    Senator Sanders. No, no, please just answer me that.

    Mr. Kennedy. Look at the Mawson study, Senator.

    Senator Sanders. The what?

    Mr. Kennedy. Mawson. Just look at that study.

    Senator Sanders. Yes, I will. And that was published----

    Mr. Kennedy. But I would not rest on a single study, and 
all studies can be----

    [inaudible].

    Senator Sanders. Okay. I do not mean to be rude. I do not 
have a lot of time.

    Mr. Kennedy. Just saying----

    Senator Sanders. You would not be, I just heard you say you 
could not be happier if you were proved wrong. Mr. Chairman, I 
ask to put into the record 16 studies done by scientists and 
doctors all over the world saying that vaccines do not cause 
autism. Are you happy with that?

    The Chair. Without objection.

    [The following information can be found on page 364 in 
Additional Material:]

    Mr. Kennedy. Look at the IOM assessment of those 16 
studies, Senator. Because the IOM has assessed them.

    Senator Sanders. Let me get to it. I do not have a lot of 
time. I apologize.

    Mr. Kennedy. I understand.

    Senator Sanders. I am happy to talk to you at another time. 
I do not have a lot of time. Let's talk about COVID. And I just 
want clarity on the issue. And again, I apologize. You have to 
be brief. We do not have a lot of time.

    Scientists have estimated that the COVID vaccine saved 3 
million lives. President Trump said COVID vaccine was what, 
quote, ``One of the great miracles of the ages,'' end quote. 
You have said, ``The COVID vaccine was the deadliest vaccine 
ever made,'' end of quote. Was the COVID vaccine the deadliest 
vaccine ever made?

    Mr. Kennedy. The reason I said that, Senator Sanders, is 
because there were more reports on the VAERS system on the 
Vaccine Adverse Event Reporting System, which is the only 
surveillance system. That and V-safe. And there were more 
reports of injuries and deaths than all other vaccines 
combined.

    Senator Sanders. But was it that--scientists said it saved 
3 million.

    Mr. Kennedy. According to VAERS? I do not know because we 
do not have a good surveillance system. Nobody----

    [inaudible].

    Senator Sanders. You disagree with the scientific community 
that----

    Mr. Kennedy. Oh, I am agnostic because we do not have the 
science to make that determination really.

    Senator Sanders. Okay. Prescription drug prices in America, 
as you know----

    Mr. Kennedy. By the way, I think President Trump did an 
extraordinary job on Warp Speed because he was not just 
focusing on that one intervention he was focusing----

    [inaudible].

    Senator Sanders. He called it a miracle. But you have cast 
doubts on its efficacy.

    All right, prescription drugs. We are going to make America 
healthy. I agree with you that we need a revolution in the 
nature of food in America, physical exercise, ET cetera. Very, 
very important. But there are people who are going to get sick, 
and they have to go to the doctor and find out why.

    One out of four Americans today cannot afford the 
prescription drugs their doctors prescribe because we pay by 
far the highest prices in the world for prescription drugs. We 
made some progress under the Biden administration of 
negotiating prescription drug prices with pharma. First time 
that has ever happened.

    Now, yesterday, you told me that the White House was going 
to issue something affirming their support for continuing those 
Medicare negotiations. Turned out not to be quite accurate. 
They came up with some bland statement, could be written by 
pharma.

    Very specific questions. Do you believe, and will you 
insist, that Medicare continue to negotiate prices with the 
pharmaceutical industry so we can substantially lower 
prescription drug costs in America?

    Mr. Kennedy. President Trump has made it very clear to me 
that he wants to negotiate prices.

    Senator Sanders. Negotiate is a big word, Bobby. It is a 
big word.

    Mr. Kennedy. That is the word you just used, Senator.

    Senator Sanders. Yes, but no, I used defend a particular 
law. Will you defend the law in the Inflation Reduction Act, 
which already is negotiating prescription drug prices?

    Mr. Kennedy. President Trump wants us to negotiate drug 
prices. He wants the lower drug prices.

    Senator Sanders. You are not telling me that you will 
defend the law that we passed, which has already had 
significant success.

    Mr. Kennedy. Well, look, I am going to comply with the law, 
Senator. Congress passed the law. I am swearing an oath to the 
Constitution. I am going to comply with the laws.

    Senator Sanders. You are going to have a significant 
influence on health care policy if you are confirmed.

    Mr. Kennedy. I am going to comply with the laws.

    Senator Sanders. Let me just say this in conclusion, 
Chairman Cassidy. President Trump and Mr. Kennedy are quite 
right when they say that our system is broken. They are right. 
Our economic system today is broken. Three people own more 
wealth than the bottom half of American society. Wages have 
been stagnant for American workers for 50 years. The economy is 
broken.

    You know what? Our political system is broken and corrupt. 
You have a handful of billionaires in both political parties 
who contribute huge amounts of money to elect candidates in 
this room throughout the U.S. Congress. That is a broken 
political system and a real threat to democracy.

    Our health care system is broken, and it is broken for some 
of the reasons that Mr. Kennedy indicated. We have not paid 
attention to the fact that we have massive amounts of chronic 
disease. We have not answered the question why, in the richest 
country in the history of the world, our life expectancy is 
lower than it is in countries far poorer than we are.

    I think in many ways, President Trump and Mr. Kennedy have 
asked some of the right questions. Problem is their answers 
will only make a bad situation worse. So let me ask Mr. Kennedy 
again. If we want to make America healthy, will you assure the 
American people that you will fight to do what every other 
major country on Earth does, guarantee health care to every 
single American?

    Mr. Kennedy. I am going to make America healthier than 
other countries in the world right now.

    Senator Sanders. Do you guarantee, do what every other 
major country does? It is a simple question.

    Mr. Kennedy. By the way, Bernie, the problem of corruption 
is not just in the Federal agencies. It is in Congress too. 
Almost all the Members of this panel are accepting, including 
yourself, are accepting millions of dollars from the 
pharmaceutical industry.

    [Applause.]

    Senator Sanders. Oh no. No, no, no, no, no.

    Mr. Kennedy. Protecting their interests.

    Senator Sanders. No, I thought that would--No, no, no. I 
ran for president like you. I got millions of millions of 
contributions. They did not come from the executives. Not one 
nickel of PAC money from the pharmaceutical industry. They came 
from workers.

    Mr. Kennedy. In 2020, you were the single largest----

    [inaudible].

    Senator Sanders. Because I had contributions from workers 
all over this country. Workers.

    Mr. Kennedy. You were the single----

    Senator Sanders. Not a nickel from corporate PACs.

    Mr. Kennedy. You were the single largest acceptor of 
pharmaceutical dollars.

    Senator Sanders. No, from workers in the industry.

    Mr. Kennedy. 1.5 million.

    Senator Sanders. Yes, out of 200 million. All right, but 
you have not answered--last question. You have not answered my 
question.

    Unidentified Voice. Mr. Chairman.

    Senator Sanders. How do we make America healthy if you do 
not guarantee health care?

    Senator Mullen. We are literally 3 minutes over here now. 
How long does it keep going? At some time, you are just 
battering the witness.

    Senator Sanders. I am not battering the witnesses.

    Senator Mullen. Yes, you are.

    Senator Sanders. I am trying to get an answer.

    Senator Mullen. You are getting upset at him. You are going 
at him just like anybody else would.

    The Chair. We will come to order. We will come to order.

    Bernie, you have gone over.

    Before I ever entered politics, before I was ever thinking 
about running for office, I practiced medicine for 30 years. I 
worked in public hospitals in California, Louisiana, 
specialized in liver disease, caring for those who otherwise 
would not have had a specialist, if you will dedicating my life 
to saving lives. That is being a doctor. That ethic guides me 
now.

    In my opening statement, I told the story of my patient, an 
18-year-old girl with acute liver failure from hepatitis B, 
being air-ambulanced to LSU Shreveport Hospital for a liver 
transplant. Now, let me finish the story. Her mother was not 
allowed to fly in the helicopter, so her mother drove the 3 
hours from Baton Rouge to Shreveport. Now, when she arrived, 
they let her visit her daughter before she went back to the OR. 
And the mom goes in to say a prayer, squeezes the daughter's 
hand, the daughter's eyes open. And she said, ``Mama,'' and the 
daughter began to recover. Powerful story, powerful story with 
a happy ending.

    But as a doctor, I saw endings not so happy. I just had a 
friend text me two children died in an intensive care unit in a 
Baton Rouge hospital from vaccine-preventable diseases this 
past month. So my concern is that if there is any false hope, 
any undermining of a mama's trust in vaccines, another person 
will die from a vaccine-preventable disease.

    Now, you have got a megaphone. Maybe you and Bernie, Bobby 
and Bernie. Of everybody in this room, the two of you have the 
biggest followings, tremendous credibility. And with that 
influence comes a great responsibility. Now, my responsibility 
is to learn, try and determine if you can be trusted to support 
the best public health, a worthy movement called MAHA, to 
improve the health of Americans, or to undermine it, always 
asking for more evidence and never accepting the evidence that 
is there.

    I looked at the article from Dr. Mawson and it seems to 
have some issues. I will just put that to the side.

    That is why I have been struggling with your nomination. 
There are issues. Man, ultra-processed food, obesity, we are 
simpatico. We are completely aligned. And as someone who has 
discussed immunizations with thousands of people, I understand 
that mothers want reassurance that the vaccine their child is 
receiving is necessary, safe, and effective. We agree on that 
point, the two of us. But we have approached it differently. 
And I think I can say that I have approached it using the 
preponderance of evidence to reassure, and you have approached 
using selected evidence to cast doubt.

    Now, put differently, we are about the same age. Does a 70-
year-old man, 71-year-old man who spent decades criticizing 
vaccines and who is financially vested in finding fault with 
vaccines, can he change his attitudes and approach now that he 
will have the most important position influencing vaccine 
policy in the United States? Will you continue what you have 
been or will you overturn a new leaf at age 70?

    I recognize, man, if you come out unequivocally, ``Vaccines 
are safe, it does not cause autism,'' that would have an 
incredible impact. That is your power.

    What is it going to be? Will it be using the credibility to 
support lots of articles or will it be using credibility to 
undermine? And I got to figure that out for my vote. You have 
the power to help rebuild, to help public health institutions 
re-earn the trust of the American people.

    Now, let's be political. I am a Republican. I represent the 
amazing State of Louisiana. And as a patriotic American, I want 
President Trump's policies to succeed in making America and 
Americans more secure, more prosperous, healthier. But if there 
is someone that is not vaccinated because of policies or 
attitudes you bring to the Department, and there is another 18-
year-old who dies of a vaccine-preventable disease, 
helicoptered away, God forbid dies, it will be blown up in the 
press. The greatest tragedy will be her death, but I can also 
tell you an associated tragedy, well, that will cast a shadow 
over President Trump's legacy, which I want to be the absolute 
best legacy it can be.

    That is my dilemma, man. And you may be hearing from me 
over the weekend. I, once again, thank you for your time, and I 
yield to my Ranking Member.

    Senator Sanders. Thank you, Mr. Chairman, and thank you 
very much for your job today in conducting this very, very 
important hearing.

    Let me reiterate my concerns. Every person on this panel, 
and I would hope everybody in America, wants to make us the 
healthiest country on Earth. And I applaud Mr. Kennedy for 
raising the issues and talking about some very important 
truths.

    But what I am not hearing from him are some very specific 
policy issues that we absolutely need if we are going to make 
America healthy. It is unquestionable that when 68,000 
Americans die because they cannot afford to go to a doctor, we 
have got to deal with that. And I have not heard one word about 
the need for universal health care that exists in every country 
on Earth. When one out of four people cannot afford 
prescription drugs because the pharmaceutical industry is 
ripping us off and charging us 10 times more, in some cases, 
than the people in other countries. I have not heard the 
definitive answer I need that we are not going to pay the 
highest prices in the world for prescription drugs.

    One of the points I think that Mr. Kennedy made, which is 
right, health care is not just medical care. It is a lot more. 
Talk about the food industry. We have held a hearing. Mr. 
Cassidy and I held a hearing a couple of months ago where we 
made the point that the food industry is in fact poisoning our 
kids with addictive food that is leading to obesity, diabetes, 
heart conditions, ET cetera.

    I hope, I hope, that our Congress and the White House will 
have the courage to take on a very powerful food industry and 
demand that the products that they sell our kids are in fact 
healthy and non-addictive. In many ways what the food industry 
is doing today is what the tobacco industry did 50 or 60 years 
ago.

    We talk about making America healthy today. Again, it is 
not just doctor care, medical care. We have millions of people 
working for starvation wages. You cannot be healthy if you are 
working 50 or 60 hours a week and you cannot afford the rent 
that your landlord is charging you. Stress kills. Stress makes 
us sick.

    Mr. Chairman, let me just say this. I think the issues that 
have been raised in this hearing today are of enormous 
importance. I look forward to working with you and other 
Members of this Committee to make sure that we develop the 
policies that have the courage to take on very powerful and 
wealthy special interests, so in fact, that we can make America 
healthy. Thank you.

    The Chair. This concludes our hearing. For any Senators who 
wish to ask additional questions, questions for the record will 
be due tomorrow on Friday, January 31st at 5 p.m.

                          ADDITIONAL MATERIAL
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT]

    [Whereupon at 1 p.m. the hearing was adjourned.]

                                  [all]