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How RFK Jr. can win over a skeptical medical community

Despite the skepticism and anger surrounding Robert F. Kennedy Jr.'s nomination to be Secretary of Health and Human Services, there is much he can do to reassure skeptics in the medical community.

His continued focus on the need to improve food quality and fight head-on the obesity epidemic is especially appealing to those who (like me) view food as medicine and those who want to improve their health. One of the important things for a person to realize that it is much less likely that a person will be of normal weight. You get sick and need expensive medical expenses.

Kennedy needs to stick with these ideas. That's not only because these ideas are essential to lowering health care costs and shifting our health care system away from treating disease, but also because they are likely to garner bipartisan support. He will need to work on food and agriculture lobbying as well as reforming the Food and Drug Administration.

In the meantime, I recommend supporting all the tools we have to fight obesity and its effects, including semaglutide and related drugs (Ozempic, Wigovy, Munjaro, etc.). This is not an either-or situation because we have to lose weight. Considering over 40 percent of Americans are obese, no matter what.

When it comes to water fluoridation, we hope RFK Jr. takes a more moderate approach rather than a ban, raising questions rather than immediately giving answers. Obviously, water fluoridation has dramatically reduced tooth decay over the years, but how necessary is it now that even toothpaste contains fluoride? And what level is safe?

The Environmental Protection Agency, Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Dental Association all state: 0.7mg per liter of waterHowever, this is difficult to control and can be higher in certain areas.

some observational study It has been shown that more than twice the recommended amount may be associated with developmental problems in infants. Fluoridation has significant benefits, so it is clear that more research needs to be done.

Another thing President Kennedy could do is revisit some of his controversial ideas about vaccines. It's one thing to have questions and ask for more data; it's another to express outright skepticism or cynicism.

Vaccination is a very important public health tool that alerts the immune system to potential pathogens, thereby preparing the immune system to fight them. If enough people ingest it, herd immunity against the pathogen develops.

Of course, the effectiveness of vaccines varies, and there are side effects that alert the immune system, but they are generally no more than those caused by the virus itself. The decision to vaccinate or not is a risk-benefit analysis, which should usually favor the vaccine.

Unfortunately, it's important not to let the fear of getting a needle in your arm and the more theoretical risk of contracting the virus cause you to fear. Because that would tip the scales away from useful vaccinations. If Mr. Kennedy approached vaccines from this perspective, he would likely find more support in the medical community.

Smallpox is a great example of the effectiveness of vaccines. The disease killed hundreds of millions of people over thousands of years until British physician Edward Jenner observed that milkmaids infected with its cousin virus, cowpox, did not subsequently develop smallpox. Ta. He had the bright idea of ​​injecting patients with a substance made from cowpox wounds. This alerted the immune system, causing a reaction also common to smallpox.

Jenner's vaccine The world changed in 1796, but it wasn't until 1801 that enough research was done to convince people that the cowpox vaccine didn't turn them into cows. Thanks to vaccination, smallpox was eradicated from the world by 1979.

During the 1918 influenza pandemic, there was no effective vaccine or treatment, although there were many difficulties in developing it. More than 50 million people have died worldwide.

Operation Warp Speed ​​helps provide relief during the coronavirus pandemic millions of About life here and around the world. When I interviewed President Trump in July 2020, his excitement about the vaccines and treatments being developed under Operation Warp Speed ​​was palpable.

His excitement proved prophetic, as in October 2020 he himself was saved by a series of treatments including monoclonal antibodies. Paxrobid has emerged as a highly effective antiviral treatment for Tamiflu-level influenza.

I think Kennedy will gain even more support by recognizing the success of Operation Warp Speed ​​and the critical importance of the tool in fighting new epidemics and pandemics.

The coronavirus vaccine should not be taken lightly. They are useful in the following areas as well as decrease This not only increases the severity of the disease in people who are particularly at high risk, but also reduces the risk of long-term infection with COVID-19.

Vaccines save lives and don't cost lives. Kennedy should recognize this. Big Pharma and Big Food, like healthcare organizations, are in need of major reform, but recognizing successes is the best first step to reforming and preventing future failures.

We've come a long way since the days when the first smallpox vaccine made people afraid of turning into cows. Kennedy should look to the future of biotechnology with excitement, not fear.

mark siegel M.D. is a professor of medicine at New York University Langone Health and medical director of Doctor Radio. He is a medical correspondent for Fox News and the author of “.COVID; Politics of Fear and the Power of Science

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