By Albert L. Brooks MD
Special to The Post

Presidential administrations significantly impact the health and wellbeing of our patients and communities.

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Vaccines, in particular, have been a target of disinformation by some HHS nominees. In fact, research continues to confirm that vaccines are safe and effective. Vaccines go through multiple rounds of clinical trials prior to being approved by the Food and Drug Administration (FDA) for administration to the public.

Vaccines protect against life-threateningdiseasessuch as measles, polio, tetanus, and meningococcal disease and, when used effectively, have beenshowntoeliminateorsubstantiallyreducediseaseprevalenceand/orseverity.

Because of vaccine mis- and disinformation, there has been a resurgence in vaccine-preventable diseases such as measles and whooping cough, endangering those who are too young or unable to be vaccinated.

Several nominees have spread disinformation alleging that fluoride in public drinking water is harmful. In fact, fluoride in drinking water at the recommended level of 0.7 parts per million, like we have in our EBMUD water, is safe and keeps teeth strong. Because of public health interventions dating back to the 1960s that have resulted in 72.3% of the U.S. population now having access to fluoridated water, there has been a reduction in cavities by about 25% in both children and adults.

We also encourage the next administration to invest in our public health infrastructure. The COVID-19 pandemic highlighted the critical role of public health agencies in preventing and responding to health crises in our communities.

Health departments at the state and local levels rely on federal funding support and technical assistance to develop public health response plans, implement public health strategies, and work with on the ground organizations to serve hard to reach communities. Public health agencies are critical for protecting everyone in our communities, regardless of income-level, insurance status, or housing status.

Health officials should also work to protect the significant improvements in insurance coverage that have occurred since the passage of theACAin 2010.According to HHS, the numberofuninsuredAmericansfellfrom48millionin2010to25.6millionin2023.

California has led the way by investing in Medi-Cal and expanding eligibility for enrollment. In fact, it reached its lowest uninsured rate ever in 2022 at 6.2%. Voters affirmed this commitment to expanding and protecting access to care in November by passing Proposition 35, which significantly expanded funding for California’s Medi-Cal program. The administration should advance policies that strengthen the ACA, Medicaid, and Medicare and improve access to affordable health care.

Regardless of the president in power, physicians will always put the best interests of our patients and communities at the forefront. We will continue to be a resource to our patients, providing evidence-based and scientifically proven information and striving to better their lives and our community’s health. We urge the new Trump administration to do the same.

Albert L. Brooks MD is the immediate past president of the Alameda-Contra Costa Medical Association, which represents 6,000 East Bay physicians.

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Voice concerns about the New EPA Administrator

WASHINGTON—President Donald Trump wasted no time implementing the Project 2025 playbook. Within his first hours as the 47th President, he issued executive orders aimed at dismantling crucial climate, health, and economic protections, which could have dire consequences for the country and the environment. His actions of disservice to our communities on the first day of his presidency coincided with Martin Luther King Jr. Day which was meant for service and reflection. The policies introduced by President Trump, along with his new Environmental Protection Agency administrator, stand in stark contrast to the spirit of Dr. King’s commitments to service others and improve society.

Climate Action Campaign (CAC), along with partners and allies, voiced strong concerns about the executive orders and the confirmation of Lee Zeldin as the 17th Environmental Protection Agency administrator. “The new administration has moved to undo hard-earned generational progress like Justice40 that was created to ensure every American has an opportunity to be healthy and thrive,” said Dr. Margo Browne, Senior Vice President of Justice and Equity, at Environmental Defense Fund. “These actions threaten the rights of tens of millions of Americans to breathe clean air, drink clean water, and use products free of toxic chemicals, particularly those people whose zip code or race add undue burdens.

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We must stay focused. Leaders change, but our work remains the same. And we will do everything we can to uphold the progress made with our partners and allies and to uplift the people on the frontlines fighting for equity every day.” “As we enter into an era of weaponized phrases and issues, we must remember that environmental justice means that all people should have equitable access to a healthy, sustainable, and resilient environment,” said Leslie Fields, Chief Federal Officer, WE ACT For Environmental Justice. “Trump’s day one acts – including rescissions of nearly 80 vital executive orders while adding dozens of new, anti-democratic orders – roll back popular policies that promote clean, renewable, and affordable energy. These actions also place vulnerable communities in even greater danger from pollution and the dire, real-time consequences of the climate crisis. In the face of these assaults, we will not stop pursuing justice.”

“The President of the United States is elected to lead and protect all Americans,” said Ben Jealous, Executive Director, Sierra Club. “Donald Trump promised to be a president who fights for working families, but his bluster of action shows he’s fighting harder to protect corporate polluters and their profits, all at the expense of our health, our safety, and our jobs. The American people want cheaper energy bills, safe drinking water, and clean air. Donald Trump should listen and offer actual solutions instead of exploiting their pain for political gain while he further lines the pockets of the wealthiest instead of American workers.”

On the Confirmation of Lee Zeldin, 17th administrator of the EPA:

“Lee Zeldin’s confirmation as EPA administrator is a catastrophic blow to the health of Americans, the climate, and the economy,” said Margie Alt, Director, Climate Action Campaign. “Under Zeldin’s leadership, the Environmental Protection Agency will no longer protect the American people and our communities – it will protect polluters. Zeldin’s public statements and record make it clear he will implement Trump’s anti-science, anti-clean energy Project 2025 agenda, prioritizing the interests of oil and gas CEOs at the expense of the clean air, water, and energy that Americans overwhelmingly support and rely on. Americans deserve an EPA administrator who will prioritize the health and safety of families over polluter profits. Zeldin’s confirmation is a tragic failure for all Americans.”

“The new head of the EPA must ensure that neither he nor the President denies vulnerable communities their most basic rights—the right to breathe clean air, drink water free from poison, and live on land that does not make them sick,” said Mustafa Santiago Ali, Executive Vice President, National Wildlife Federation. “Environmental Justice is not a privilege; it is the foundation of life, liberty, and the pursuit of happiness.  To neglect it is to abandon the people who need protection the most.” “Confirming a director who normalizes baseless conspiracies, while failing to earnestly accept the facts of climate change, is a threat to the health of everyone in the United States and especially the most vulnerable Justice 40 communities,” said KeShaun Pearson, Executive Director, Memphis Community Against Pollution. “Lee Zeldin is the antithesis of environment and climate justice. We are amid a climate crisis that demands a protector, not a big oil pawn.” Climate Action Campaign is a vibrant coalition of advocacy organizations working together to drive ambitious, durable federal action to cut carbon pollution, address the climate crisis, advance environmental justice, and accelerate the transition to clean energy.

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