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Sen. Cassidy, whose vote got RFK Jr. his job, finally starts to make amends

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Sen. Bill Cassidy (R-La.) explains at a Senate hearing Wednesday why childhood vaccines are crucial for public health.
(Senate HELP Committee)
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  • A Senate hearing on vaccines ends with a plea from a GOP leader to keep childhood vaccines available to all.

There were a couple of especially dramatic moments in Wednesday’s Senate Health Committee hearing delving into Robert F. Kennedy Jr.’s firing of the director of the Centers for Disease Control and Prevention and the subsequent resignations of three top CDC officials.

Interestingly, both were generated by the committee chair, Sen. Bill Cassidy (R-La.).

Cassidy has been taking brickbats in recent months over his vote to confirm Kennedy as secretary of Health and Human Services in February. A physician and vaccine supporter, Cassidy had been seen as a potential obstacle to Kennedy’s confirmation. But then he voted for Kennedy, explaining that Kennedy had assured him he wouldn’t alter the existing recommendations for childhood immunizations.

If a recording does not exist, I ask Sen. Mullin to retract his line of questions. I’m also curious why one senator was given this, and why we’re only hearing about it now.

— Sen. Bill Cassidy (R-La.) Senate Health Committee chair

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RFK Jr., as has been well remarked, reneged on his promise.

But at Wednesday’s hearing, Cassidy started to take steps to climb out of his embarrassing hole. Here’s what happened.

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During Wednesday’s hearing, the committee took testimony from Susan Monarez, who was fired 29 days after starting the job. The reason she was fired, she said, was that she refused Kennedy’s demand that she endorse the findings of his handpicked vaccine advisory committee in advance, before even seeing them, and that she fire CDC personnel he didn’t like. The committee also heard from Dr. Debra Houry, who resigned as the CDC’s chief medical officer in sympathy with Monarez.

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Monarez said that at her last meeting with Kennedy, he told her he could not trust her because she had been in contact with Cassidy’s committee. She said she replied that “if he could not trust me, he could fire me.”

Then the hearing got derailed. Sen. Markwayne Mullin (R-Okla.) accused Monarez of lying. “Is that really how the conversation went,” he asked, “because there were other people in the room.” He said that what actually happened in the conversation was Kennedy asked her if he could trust her. Mullin implied that she answered in the negative.

Interestingly, that’s the story Kennedy himself told a Senate hearing earlier this month, to open skepticism from Sens. Elizabeth Warren (D-Mass.) and Bernie Sanders (I-Vt.).

Mullin then unveiled his secret weapon.

Robert F. Kennedy is getting a lot of press because of his name, but it’s his anti-vaccine claims that need to be scrutinized.

“Ma’am,” he said, “it was a recorded meeting.” A shocked silence fell on the room. Mullin continued, “You can testify one way, or you can prove that you’re lying, or you can be honest with this committee.”

Soon after that, Cassidy showed that he was fed up with Mullin, with persistent stonewalling by Kennedy’s agency, and quite possibly with the humiliation Kennedy has visited upon him by reneging on his promises to Cassidy.

“I will note that materials have been provided to Sen. Mullin, and invoked in official committee business; they are committee records, and all other senators on the committee have the right to see those records,” he said. “I will also note that if HHS has a recording, I ask that they release the recording, and I’d also like to know why it was recorded.”

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He complained that Kennedy’s agency had failed to fulfill the committee’s demand for “any documents or communications that would bring transparency to this situation,” meaning the Monarez firing. And he concluded: “If a recording does not exist, I ask Sen. Mullin to retract his line of questions. I’m also curious why one senator was given this, and why we’re only hearing about it now.”

Here’s the punchline: A few minutes later, Cassidy reported from the chair that outside the hearing room, Mullin told reporters that “he was mistaken in saying that the RFK-Monarez meeting was recorded.” Cassidy added, sourly, “In case he’s mistaken that he was mistaken, if there is a recording, it should be released.” A Health and Human Services spokesman later confirmed that no recording exists. A spokesman for Mullin said the senator was referring to a transcript of the meeting, not a recording.

Cassidy closed the hearing by expressing concern that Kennedy’s handpicked vaccine advisory committee, stocked with anti-vaccine activists, was scheduled to meet Thursday, at which it seemed poised to alter the CDC’s recommendations on childhood vaccinations by removing several from the recommended list — a step that horrifies the pediatric and epidemiological communities.

HHS Secretary Robert F. Kennedy Jr. used discredited and misrepresented studies to justify canceling research into life-giving vaccines.

Cassidy’s specific concern was about the hepatitis B vaccine, which the CDC has recommended be given at birth. Republicans on the committee ridiculed that recommendation, because hep B is commonly transmitted sexually, and what baby is having sex? The response from physicians is that babies can contract the disease from their mothers, even if their mothers might not even know they’re carriers.

Cassidy, as it happens, is a liver specialist. “I have seen people die from hepatitis,” he said. “This was my practice for 20 years before I entered politics.”

He continued, “For those who say why should a child be vaccinated for a sexually transmitted disease, at birth the child passes through the birth canal. ... That passage through the birth canal makes that child vulnerable to the virus. ... If that child is infected at birth, more than 90% of them develop chronic, lifelong infection.” That means a lifelong threat of cirrhosis or other deadly liver conditions.

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“Before 1991, as many as 20,000 babies — babies — were infected” per year, Cassidy said. In the first decade, through 2001, after the vaccine was approved for newborns, however, “newborn infections of hepatitis B was reduced by 68%. Now, fewer than 20 babies per year get hepatitis B from their mother. That is an accomplishment to make America healthy again,” Cassidy said, mischievously citing RFK Jr.’s policy mantra.

“We should stand up and salute the people that made that decision,” Cassidy said, “because there are people who would otherwise be dead if those mothers were not given that option to have their child vaccinated.”

So, kudos, Sen. Cassidy, for finally explaining why vaccines are necessary.

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Ideas expressed in the piece

  • The author argues that Sen. Bill Cassidy is finally taking steps to make amends for his embarrassing vote to confirm Robert F. Kennedy Jr. as Health and Human Services Secretary, after Kennedy reneged on promises not to alter childhood vaccination recommendations. During the Senate Health Committee hearing, Cassidy demonstrated he was fed up with Kennedy’s agency by demanding transparency and criticizing the stonewalling of document requests related to CDC Director Susan Monarez’s firing.

  • The author contends that Kennedy’s actions represent a betrayal of trust, specifically highlighting how Kennedy demanded that Monarez endorse findings from his handpicked vaccine advisory committee before seeing evidence and fire CDC personnel without cause. The piece emphasizes that Monarez was fired for maintaining scientific integrity rather than acting as a “rubber stamp” for Kennedy’s agenda.

  • The author presents Cassidy’s defense of the hepatitis B vaccine as particularly significant, noting that as a liver specialist, Cassidy explained how the vaccine has prevented thousands of infant infections and deaths. The author argues this represents necessary vindication of vaccine science, pointing out that before 1991, up to 20,000 babies were infected annually, but vaccination reduced newborn infections by 68% in the following decade.

  • The author expresses concern about Kennedy’s handpicked vaccine advisory committee meeting to potentially remove childhood vaccines from recommended lists, describing this as horrifying to pediatric and epidemiological communities. The piece suggests Kennedy’s approach threatens public health by prioritizing ideology over scientific evidence.

Different views on the topic

  • Republican senators expressed skepticism about Monarez’s characterization of her conversations with Kennedy, with some suggesting her firing was justified based on her performance rather than refusal to compromise scientific integrity[1][2]. Sen. Markwayne Mullin directly accused Monarez of dishonesty during her testimony, initially claiming the meeting was recorded before later retracting that statement[2].

  • Several GOP committee members defended Kennedy’s approach to vaccine policy, arguing that current recommendations are overly broad and unnecessary for many populations[1]. Sen. Rand Paul specifically argued that COVID-19 vaccines shouldn’t have been recommended for children because they haven’t reduced transmission, hospitalization, or deaths in that population while being associated with increased myocarditis risk in young men[1].

  • Sen. Roger Marshall criticized what he characterized as Monarez’s “attitude that every person needs every vaccine,” stating this was “completely contrary to Secretary Kennedy’s philosophy”[1]. Republican senators questioned the medical necessity of certain vaccines, particularly the hepatitis B vaccine for newborns whose mothers don’t have hepatitis, suggesting more targeted approaches rather than universal recommendations.

  • Kennedy himself disputed Monarez’s version of events during previous Senate testimony, claiming he fired her because she admitted to being untrustworthy rather than for refusing to compromise scientific standards[1][2]. Kennedy defended the CDC shakeups as “absolutely necessary adjustments to restore the agency to its role as the world’s gold standard public health agency,” suggesting the changes were needed to improve rather than politicize the institution[2].

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