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Consider This from NPR

Trump is changing public health guidance. What's it mean for you?

Consider This from NPR

NPR

Society & Culture, News, Daily News, News Commentary

4.15.3K Ratings

🗓️ 24 September 2025

⏱️ 14 minutes

🧾️ Download transcript

Summary

The federal government’s approach to public health has changed more in the last eight months than it has in decades.

 
Since President Trump returned to office, he and members of his administration have challenged the safety of the covid vaccine, the overall childhood vaccine schedule, and the causes of autism.

This has upended public health guidance that doctors and patients have relied on for years.

Jen Brull, the President of the American Academy of Family Physicians talks about how doctors and patients are navigating this moment.

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Email us at [email protected].

This episode was produced by Elena Burnett, Brianna Scott, and Megan Lim, with audio engineering by Hannah Gluvna.

It was edited by Courtney Dorning.

Our executive producer is Sami Yenigun.






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Transcript

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0:00.0

For generations, the U.S. government has worked to protect the health of its citizens.

0:05.1

It hasn't always succeeded, but it has taken major steps to do so, like this one in 1964.

0:10.9

Out of its long and exhaustive deliberations, the committee has reached the overall judgment

0:15.9

that cigarette smoking is a health hazard.

0:19.8

That's then U.S. Surgeon General Luther Terry during a press conference where he laid out the

0:25.0

findings of the report he and his committee prepared on the dangers of cigarette smoking.

0:29.4

It is a judgment of the committee that cigarette smoking contributes substantially to mortality

0:35.6

from certain specific diseases and to the overall death rate.

0:41.2

It would take decades for the majority of Americans to quit smoking and for the tobacco companies

0:45.9

to be held accountable. But the public health initiatives and guidance that began with that report

0:50.9

contributed to a drastic drop in smoking.

0:56.7

Members of the Senate, members of the House, ladies and gentlemen,

1:02.2

we are here today for the purpose of signing the Cancer Act of 1971.

1:06.1

Seven years after, the Surgeon General warned about the dangers of smoking,

1:10.9

President Richard Nixon focused the power of the federal government on beating cancer. We can say this, that for those who have cancer and who are looking for success in this field,

1:19.7

they at least can have the assurance that everything that can be done by government,

1:25.9

everything that can be done by voluntary agencies in this great,

1:29.8

powerful, rich country, now will be done.

1:33.0

That was Nixon the day he signed the Cancer Act of 1971 into law.

1:38.6

By the year 2021, the National Cancer Institute's annual budget had increased 25-fold. Prevention, early detection,

1:47.0

and treatment all improved, and cancer mortality has dropped. Since 2021, overall spending on

1:54.1

cancer research has not decreased in the Trump administration. Some cancer research grants have

...

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