Scott Gurvey's Public Offerings

The United States is currently experiencing a historic resurgence of measles, reaching a 35-year high in 2026. The Centers for Disease Control and Prevention (CDC) confirmed that measles cases have surpassed the record-breaking numbers of 2025, fueled by a multi-year decline in childhood vaccination rates and growing vaccine skepticism. Because measles is one of the most contagious infectious diseases on Earth, it acts as a “canary in the coal mine” for public health, rapidly finding and spreading through pockets of under-vaccinated communities.

What are our leaders doing about it? Donald Trump is spreading vaccine skepticism. He overruled his qualified medical advisers in issuing an executive order urging Health and Human Services Secretary RFK Jr. to cut the number of childhood immunizations. His plan includes 11 immunizations, down from a recommended 17. Vaccines for measles, mumps, rubella (MMR), tetanus, pertussis and polio would still be universal. But those for hepatitis A and B, dengue, flu, Covid and rotavirus would be advised only for “high-risk” children, or else would to be left to “shared clinical decision-making” between doctors and parents.

It also orders the government to recommend that the combination MMR vaccination, which protects against measles, mumps, and rubella, “should be administered in three separate singe-disease shots.”

Simply put, it means three trips to the doctor and three jabs of a needle for children. That means extra pain and cost. And that’s if the three separate vaccines are made available. Right now, only the combination shot is produced. It could take years to produce the three separate vaccines. The combination shot has been used in the United States for more than 50 years.

The effect will be to discourage parents from administering the vaccines to their children. That will lead to an increase in disease and death.

Trump calls his order the “Gold Standard Childhood Vaccine Recommendations.” It largely follows a much-disputed HHS report in January that advised fewer vaccines on the childhood schedule. Trump’s order isn’t based on rigorous science, or really any science at all. It is based only on his uninformed position, supported by the anti-vaxer with no medical training who he put in charge of the nation’s health, RFK, Jr. His statement announcing the new order was loaded with misleading claims and out and out lies.

The day after Trump’s announcement the president of the American Academy of Pediatrics blasted the new policy. “As measles cases reach a 35-year high in the U.S. and with cold and flu season quickly approaching, today’s executive order on vaccines is not only disheartening but dangerous,” Dr. Andrew Racine said in a release. 

The President’s executive order doesn’t compel states or schools to follow his pared regimen, but he threatens legal action against those that don’t adopt it. He directs Attorney General Todd Blanche to challenge state laws that conflict with “parental authority, religious freedom, disability accommodations, and equal protection under the law.”

Under Trump’s order, the Justice Department could sue states for infringing on parental authority if they require vaccines for school attendance that differ from his recommendations. State police powers to protect public health can sometimes be in tension with parental rights, and some states overstepped during the pandemic, though none mandated Covid shots for school-age children. Multiple studies have shown that the United States suffered twice the number of deaths and incurred twice the cost of comparable countries as a result of Covid. Trump consistently opposed medical advice on combatting that pandemic.

Trump’s order could inflame what has become a culture war over immunizations. That war was enflamed by the broad Covid vaccine mandates during the Biden administration. The mandates were vigorously opposed by conservatives and vaccine skeptics. But Trump is making the same mistake in trying to coerce states into following his line on vaccines. Kennedy and his plaintiff lawyer friends benefit from spreading vaccine skepticism. But Trump’s jab at children’s vaccines could alienate voters, especially parents of young children, as measles spreads.

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