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RFK Jr. faces four GOP docs at Senate hearings

April 21, 2026
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Washington Correspondent, D.C. Diagnosis Writer

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politics

The Senate GOP doctors who will question RFK Jr.

There are four Republican doctors on two of the Senate committees at which health secretary Robert F. Kennedy Jr. will testify this week. Two have been critical of Kennedy’s anti-vaccine policies, and we’ll be watching how they question the secretary, especially because the Republican party is trying its best to avoid talking about vaccines in the lead-up to the midterm elections.

After testifying about the HHS budget before three House committees last week, Kennedy will appear today at the House Committee on Energy and Commerce and the Senate appropriations health subcommittee. Tomorrow he’ll face the Senate finance and health committees. Both finance and health are doctor-heavy.

Sen. Bill Cassidy (R-La.), a gastroenterologist and hepatologist, chairs the health committee. If you’ve paid any attention to vaccine policy during this administration, you know Cassidy tried to stay in President Trump’s good graces while keeping Kennedy in line on vaccine policy by getting certain assurances in return for providing the linchpin confirmation vote for Kennedy.

Cassidy failed on both counts.

And Trump recently endorsed Rep. Julia Letlow, one of Cassidy’s challengers in this year’s Louisiana Republican primary election.

The other two Republican doctors on Cassidy’s committee are Sen. Rand Paul (R-Ky.) and Sen. Roger Marshall (R-Kan.). Paul, an eye surgeon, refused to take the Covid-19 vaccine, while Marshall, an OB-GYN, has expressed reservations about the childhood vaccine schedule.

Cassidy and Marshall also are on the finance committee, along with orthopedic surgeon Sen. John Barrasso (R-Wy.). Barrasso criticized Kennedy during a September 2025 hearing, saying the health secretary had made the country vulnerable to measles and hepatitis B by undermining public trust in those vaccines.



psychedelics

When Joe Rogan texts, Trump listens

Lobbyists often design complicated campaigns involving advertisements, political donations, messaging, and a lot of meeting requests. For Joe Rogan, all it took to spur the administration to action on a powerful psychedelic was a text to Trump, Daniel Payne reports.

Trump on Saturday signed an executive order directing the federal government to rush access to psychedelics and reevaluate their status as controlled substances.

Rogan texted Trump about ibogaine, a potentially risky drug. It can cause cardiac arrhythmias, and ibogaine sessions, often described as a "waking dreamlike state," last up to 36 hours.

“Sounds great,” Trump responded, according to Rogan. “Do you want FDA approval? Let’s do it.”

Read more from Elaine Chen about why even some who like what the administration is doing on psychedelic research worry about how the White House is doing it.


cdc

Cautious optimism

The public health world is cautiously optimistic about the president’s choice of Erica Schwartz to run the Centers for Disease Control and Prevention, according to Helen Branswell, Daniel, and Chelsea Cirruzzo.

Schwartz served as deputy surgeon general during the first Trump administration. She is a doctor, public health leader, and veteran with no public ties to the anti-vaccine movement.

But her supporters worry that Kennedy will shorten the leash on the CDC after the midterms. Read more.


gender-affirming care

District court rules against Kennedy’s gender declaration

A U.S. district judge in Oregon has officially ruled against Kennedy’s declaration that gender-affirming care does not meet medical standards. “Unserious leaders are unsafe,” Judge Mustafa T. Kasubhai wrote. “Tragically, this case is one of a long list of examples of how a leader’s wanton disregard for the rule of law causes very real harm to very real people.”

During last month’s oral arguments, Kasubhai indicated he would rule in favor of the states that challenged Kennedy on the declaration. He concluded that Kennedy did not have the authority to issue such a sweeping assertion, calling it unlawful and prohibiting “any materially similar policy” that supersedes the plaintiff states’ standards of care.

The declaration was released in December alongside proposed rules that would leverage federal funding to stop gender-affirming care. But this decision doesn’t necessarily mean that those rules are dead on arrival. Unlike the declaration, those were proposed through more standard procedures, though Kasubhai’s decision will likely be cited in challenges to the rules if and when they’re finalized. — Theresa Gaffney


drug prices

Light reading

Bob Herman reviewed more than 500 letters received by the Centers for Medicare and Medicaid Services on its proposal to require PBMs to disclose a wide range of drug pricing information to employers.

Insurers and drug middlemen said the proposal is illegal. It was praised by Mark Cuban’s pharmacy and others in the business community who want middlemen to face more accountability. Drugmakers are glad that PBMs are the new target, but they want the administration to pull back on disclosure of drug pricing data.

Read more.


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What we’re reading

  • Opinion: The contradiction at the heart of Republicans’ embrace of psychedelics, STAT
  • Why hospital food is still so bad, Consumed
  • Even for trans adults, care is hard to find: ‘I could not do it on my own,’ STAT
  • White House pushes for flavored vapes blocked by FDA head, The Wall Street Journal

Thanks for reading! More next time,


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