american people

SACRAMENTO — California Gov. Gavin Newsom has positioned himself as a national public health leader by staking out science-backed policies in contrast with the Trump administration.

After Health and Human Services Secretary Robert F. Kennedy Jr. fired Centers for Disease Control and Prevention Director Susan Monarez for refusing what her lawyers called “the dangerous politicization of science,” Newsom hired her to help modernize California’s public health system. He also gave a job to Debra Houry, the agency’s former chief science and medical officer, who had resigned in protest hours after Monarez’s firing.

Newsom also teamed up with fellow Democratic governors Tina Kotek of Oregon, Bob Ferguson of Washington and Josh Green of Hawaii to form the West Coast Health Alliance, a regional public health agency, whose guidance the governors said would “uphold scientific integrity in public health as Trump destroys” the CDC’s credibility. Newsom argued establishing the independent alliance was vital as Kennedy leads the Trump administration’s rollback of national vaccine recommendations.

More recently, California became the first state to join a global outbreak response network coordinated by the World Health Organization, followed by Illinois and New York. Colorado and Wisconsin signaled they plan to join. They did so after President Trump officially withdrew the United States from the agency on the grounds that it had “strayed from its core mission and has acted contrary to the U.S. interests in protecting the U.S. public on multiple occasions.” Newsom said joining the WHO-led consortium would enable California to respond faster to communicable disease outbreaks and other public health threats.

Although other Democratic governors and public health leaders have openly criticized the federal government, few have been as outspoken as Newsom, who is considering a run for president in 2028 and is in his second and final term as governor. Members of the scientific community have praised his effort to build a public health bulwark against the Trump administration’s slashing of funding and scaling back of vaccine recommendations.

What Newsom is doing “is a great idea,” said Paul Offit, an outspoken critic of Kennedy and a vaccine expert who formerly served on the Food and Drug Administration’s vaccine advisory committee but was removed under Trump in 2025.

“Public health has been turned on its head,” Offit said. “We have an anti-vaccine activist and science denialist as the head of U.S. Health and Human Services. It’s dangerous.”

The White House did not respond to questions about Newsom’s stance and Health and Human Services declined requests to interview Kennedy. Instead, federal health officials criticized Democrats broadly, arguing that blue states are participating in fraud and mismanagement of federal funds in public health programs.

Health and Human Services spokesperson Emily Hilliard said the administration is going after “Democrat-run states that pushed unscientific lockdowns, toddler mask mandates, and draconian vaccine passports during the COVID era.” She said those moves have “completely eroded the American people’s trust in public health agencies.”

Public health guided by science

Since Trump returned to office, Newsom has criticized the president and his administration for engineering policies that he sees as an affront to public health and safety, labeling federal leaders as “extremists” trying to “weaponize the CDC and spread misinformation.” He has excoriated federal officials for erroneously linking vaccines to autism, warning that the administration is endangering the lives of infants and young children in scaling back childhood vaccine recommendations. And he argued that the White House is unleashing “chaos” on America’s public health system in backing out of the WHO.

The governor declined an interview request, but Newsom spokesperson Marissa Saldivar said it’s a priority of the governor “to protect public health and provide communities with guidance rooted in science and evidence, not politics and conspiracies.”

The Trump administration’s moves have triggered financial uncertainty that local officials said has reduced morale within public health departments and left states unprepared for disease outbreaks and prevention efforts. The White House last year proposed cutting Health and Human Services spending by $33 billion, including $3.6 billion from the CDC. Congress largely rejected those cuts last month, although funding for programs focusing on social drivers of health, such as access to food, housing and education, were axed.

The Trump administration announced that it would claw back more than $600 million in public health funds from California, Colorado, Illinois and Minnesota, arguing that the Democratic-led states were funding “woke” initiatives that didn’t reflect White House priorities. Within days, the states sued and a judge temporarily blocked the cut.

“They keep suddenly canceling grants and then it gets overturned in court,” said Kat DeBurgh, executive director of the Health Officers Assn. of California. “A lot of the damage is already done because counties already stopped doing the work.”

Federal funding has accounted for more than half of state and local health department budgets nationwide, with money going toward fighting HIV and other sexually transmitted infections, preventing chronic diseases, and boosting public health preparedness and communicable disease response, according to a 2025 analysis by KFF, a health information nonprofit that includes KFF Health News.

Federal funds account for $2.4 billion of California’s $5.3-billion public health budget, making it difficult for Newsom and state lawmakers to backfill potential cuts. That money helps fund state operations and is vital for local health departments.

Funding cuts hurt all

Los Angeles County public health director Barbara Ferrer said if the federal government is allowed to cut that $600 million, the county of nearly 10 million residents would lose an estimated $84 million over the next two years, in addition to other grants for prevention of HIV and other sexually transmitted infections. Ferrer said the county depends on nearly $1 billion in federal funding annually to track and prevent communicable diseases and combat chronic health conditions, including diabetes and high blood pressure. Already, the county has announced the closure of seven public health clinics that provided vaccinations and disease testing, largely because of funding losses tied to federal grant cuts.

“It’s an ill-informed strategy,” Ferrer said. “Public health doesn’t care whether your political affiliation is Republican or Democrat. It doesn’t care about your immigration status or sexual orientation. Public health has to be available for everyone.”

A single case of measles requires public health workers to track down 200 potential contacts, Ferrer said.

The U.S. eliminated measles in 2000 but is close to losing that status as a result of vaccine skepticism and misinformation spread by vaccine critics. The U.S. had 2,281 confirmed cases last year, the most since 1991, with 93% in people who were unvaccinated or whose vaccination status was unknown. This year, the highly contagious disease has been reported at schools, airports and Disneyland.

Public health officials hope the West Coast Health Alliance can help counteract Trump by building trust through evidence-based public health guidance.

“What we’re seeing from the federal government is partisan politics at its worst and retaliation for policy differences, and it puts at extraordinary risk the health and well-being of the American people,” said Georges Benjamin, executive director of the American Public Health Assn., a coalition of public health professionals.

Robust vaccine schedule

Erica Pan, California’s top public health officer and director of the state Department of Public Health, said the West Coast Health Alliance is defending science by recommending a more robust vaccine schedule than the federal government. California is part of a coalition suing the Trump administration over its decision to rescind recommendations for seven childhood vaccines, including for hepatitis A, hepatitis B, influenza and COVID-19.

Pan expressed deep concern about the state of public health, particularly the uptick in measles. “We’re sliding backwards,” Pan said of immunizations.

Sarah Kemble, Hawaii’s state epidemiologist, said Hawaii joined the alliance after hearing from pro-vaccine residents who wanted assurance that they would have access to vaccines.

“We were getting a lot of questions and anxiety from people who did understand science-based recommendations but were wondering, ‘Am I still going to be able to go get my shot?’” Kemble said.

Other states led mostly by Democrats have also formed alliances, with Pennsylvania, New York, New Jersey, Massachusetts and several other East Coast states banding together to create the Northeast Public Health Collaborative.

Hilliard, of Health and Human Services, said that even as Democratic governors establish vaccine advisory coalitions, the federal Advisory Committee on Immunization Practices “remains the scientific body guiding immunization recommendations in this country, and HHS will ensure policy is based on rigorous evidence and gold standard science, not the failed politics of the pandemic.”

Influencing red states

Newsom, for his part, has approved a recurring annual infusion of nearly $300 million to support the state Department of Public Health, as well as the 61 local public health agencies across California, and last year signed a bill authorizing the state to issue its own immunization guidance. It requires health insurers in California to provide patient coverage for vaccinations the state recommends even if the federal government doesn’t.

Jeffrey Singer, a doctor and senior fellow at the libertarian Cato Institute, said decentralization can be beneficial. That’s because local media campaigns that reflect different political ideologies and community priorities may have a better chance of influencing the public.

A KFF analysis found some red states are joining blue states in decoupling their vaccine recommendations from the federal government’s. Singer said some doctors in his home state of Arizona are looking to more liberal California for vaccine recommendations.

“Science is never settled, and there are a lot of areas of this country where there are differences of opinion,” Singer said. “This can help us challenge our assumptions and learn.”

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling and journalism.

WASHINGTON — Senate Republicans blocked a war powers resolution Wednesday designed to withdraw U.S. forces from hostilities in Iran, as the Trump administration accelerates its military campaign in a conflict that has killed hundreds, including at least six American service members.

The motion failed in a vote of 47-53.

In addition to pulling out military resources from the Middle East, the measure — introduced by Sens. Chuck Schumer (D-N.Y.), Adam Schiff (D-Calif.) and Tim Kaine (D-Va.) — would have required Congress’ explicit approval before future engagement with Iran, a power granted to the legislative branch in the Constitution.

The House, where Republicans also hold an advantage, is scheduled to weigh in on a similar measure Thursday. Even if both Democratic-led measures were to succeed, President Trump was widely expected to veto the legislation.

“We are doing very well on the war front, to put it mildly,” President Trump said at a White House event on Wednesday afternoon. The president, who has come under scrutiny for offering shifting explanations on the war’s endgame, said that if he was asked to scale the American military operation from one to 10, he would rate it a 15.

Democrats dispute that Trump possesses the authority to wage the ongoing operation in Iran without explicit congressional approval.

Acknowledging the measure was unlikely to succeed, they framed the vote as a strategy to force lawmakers to put their support for or opposition to the war on record.

“Today every senator — every single one — will pick a side,” Schumer said. “Do you stand with the American people who are exhausted with forever wars in the Middle East, or stand with Donald Trump and Pete Hegseth as they bumble us headfirst into another war?”

Senate Majority Leader John Thune (R-S.D.) and most of his Republican colleagues have maintained that the president carried out a “pre-emptive” and “defensive” strike in Iran, giving him full authority to continue unilateral military operations.

Republicans saw the vote as the “last roadblock” stopping Trump from carrying out his mission against the Islamic Republic.

“I think the president has the authority that he needs to conduct the activities and operations that are currently underway there. There are a lot of controversy and questions around the war powers act, but I think the president is acting in the best interest of the nation and our national security interests,” Thune said at a news conference.

Senators largely held to party loyalties, with the exception of Kentucky Republican Rand Paul, who broke ranks to support the measure, and Pennsylvania Democrat John Fetterman, who opposed it.

The vote comes as Defense Secretary Pete Hegseth said Wednesday that the war against Iran is “accelerating,” with American and Israeli forces expanding air operations into Iranian territory. He pointed to evidence released by U.S. Central Command of a submarine strike on an Iranian warship, and also lauded other strikes throughout the region as civilian casualties in Iran surpassed 1,000 on the fourth day of the conflict, according to rights groups.

“We’re going to continue to do well,” Trump said Wednesday. “We have the greatest military in the world by far and that was a tremendous threat to us for many years. Forty-seven years they’ve been killing our people and killing people all over the world, and we have great support.”

Republicans blocked a similar war powers vote in January after the president ordered U.S. special forces to capture and extradite Venezuelan President Nicolás Maduro in Caracas on drug trafficking charges.

GOP leaders argued that the outcome of that mission equated to a quick success in the Middle East, despite an uncertain timeline from the Department of Defense.

In the House, lawmakers will vote on a separate war powers effort Thursday. That bill is led by Rep. Ro Khanna (D-Calif.) and Rep. Thomas Massie (R-Ky.), the two lawmakers who authored the Epstein Files Transparency Act.

“Instead of sending billions overseas, we need to invest in jobs, healthcare, and education here,” Khanna said on X.

In addition to that proposal, moderate Democrats in the House have introduced a separate resolution that would give the administration a 30-day window to justify continued hostilities in the Middle East before requiring a formal declaration of war or authorization from Congress.

This essay is excerpted from Gov. Gavin Newsom’s new memoir, “Young Man in a Hurry: A Memoir of Discovery.”

On January 20, 2004, I took a seat in the gallery of the House of Representatives to hear President Bush deliver his State of the Union address. The seat came courtesy of House Minority Leader Nancy Pelosi. Ten months earlier, Bush had made the decision to invade Iraq after his administration’s historic campaign of lies convinced the American people that Saddam Hussein possessed weapons of mass destruction. We would not extricate ourselves from that costly conflict for another seventeen years. Much of his speech that night was a further attempt to sell to the nation the justification for his war. “Had we failed to act, the dictator’s weapons of mass destruction programs would continue to this day,” Bush said. He characterized the Patriot Act, which had unleashed a new magnitude of spying on American citizens, as “one of those essential tools” in the war on terror.

“Young Man in a Hurry: A Memoir of Discovery” by Gavin Newsom

(Penguin Press)

The rest of his speech was standard fare, ho-hum really, until he reached a section near the end about American values and the need for us to “work together to counter the negative influences of the culture and to send the right messages to our children.” He said he was troubled by activist judges in activist states who were threatening to undo the Defense of Marriage Act signed into law by his predecessor, President Bill Clinton. We had to “defend the sanctity of marriage” as the union of one man and one woman, he said. If need be, he would seek a constitutional amendment to ban same-sex marriage.

As I was leaving the chamber, a middle-aged couple next to me was talking about how pleased they were that their president was finally confronting the “homosexual agenda.” The word homosexual came out of their mouths bent by contempt. I was supposed to head downstairs for a reception with Congresswoman Pelosi and a delegation of California Democrats, but I needed a breath of fresh air. Outside the Capitol, I kept walking and muttering to myself. “These are my people Bush is attacking. My constituents. My staff. My closest advisers.” In the cold and dark of Washington, I called one of my aides back in San Francisco and pledged that I was “going to do something about it” as soon as I returned home.

The law in our state was no different from the law in every other state. Same-sex unions could not be recognized by the local assessor-recorder’s office. They were illegal. As I explained to aides my willingness to now defy that law, I held up a copy of the California Constitution. In Article I, the first section promises that “all people are by nature free and independent and have inalienable rights.” Among these rights are pursuing and obtaining “safety, happiness and privacy.” It was not until Section 7.5 that these rights were then abridged: “Only a marriage between a man and a woman is valid or recognized in California.” This not only contradicted the first section but was discriminatory on its face.

My top staff didn’t disagree with my reading, but almost to a person they were opposed to my taking on the issue. Steve Kawa, my chief of staff, a gay Bostonian whose accent cut through all nonsense, pulled me aside and spoke from his heart. His father had renounced him for being gay, and he wanted nothing more than to live in an America where homophobia was no longer the norm. But swinging open the doors to the city clerk’s office and inviting gay men and lesbian women to the marriage altar was political suicide, he argued. We were new to office, for one thing. And polls showed that less than one third of Californians supported gay marriage.

The “go it slow” admonition was the mother’s milk of Democratic politics. In the endless battle for the hearts and minds of moderates, it seemed the only feasible way for a Democrat to get elected and govern. But this was San Francisco, and we were talking about equal protection under the law for a class of people whose ostracism by family, friends, and community had brought them to San Francisco in the first place. If not here, where? Eric Jaye, one of my campaign consultants, could see my quandary. I was caught between my conscience and the sound political advice of the people closest to me. We had several late-night conversations on the phone. “What the f— are you doing here? Why did we work so hard to win if you can’t do something bold?” he asked. “This is a short life, Gavin. Your time as a politician to get things done is just a blip.”

I thought back to my model for the wine store. The entire purpose was to turn the staid on its head and create a new reality. I called Joyce Newstat, my policy director, who was also gay. “We need to do this,” I told her. She could hear in my voice that I had made up my mind. “OK, but we can’t afford to take a wrong step,” she said. “Gays and lesbians have a history of being blindsided, and you don’t want to become part of that narrative. Give me a week or two to reach out to the community.” Joyce sat down with Kate Kendell, the brilliant executive director of the National Center for Lesbian Rights, based in San Francisco. “Who is this guy?” Kendell wondered. “He can’t just come waltzing in here and upset the delicate balance we’ve taken years to achieve.” Joyce told her I couldn’t be talked out of it, that it had become internalized after I had gone to Washington and heard the words of bigotry ring out in the Capitol. “Well, OK. But if he’s going to do it, he has to do it right,” Kendell said. She directed her attorneys at the center to work with our team on fashioning a plan.

I then went to Mabel Teng, my former colleague on the board of supervisors who was now the assessor-recorder of San Francisco. I asked her what complications would be presented to her official duties if we allowed same-sex marriages at city hall. Mabel, who began her career in politics as an activist with Jesse Jackson’s Rainbow Coalition, did not surprise me with her reply. “It would be no problem at all, Mayor.” The marriage of a man and a man, or a woman and a woman, would require hardly any change to the paperwork. Rather than “man and wife,” they would show up in her computer as “Applicant One” and “Applicant Two.”

Alarmed by my plans, my father and Uncle Brennan and their close friend Joe Cotchett — each one steeped in law and politics but only Joe standing six foot four and a former Special Forces paratrooper —attempted a last-minute intervention. They lured me to the Balboa Cafe for dinner and wine. They weren’t the kind to beat around the bush. Did I realize that I was about to torpedo my political career?

Joe got right in my face. “Why are you doing this, Gavin?”

“I’ll tell you why I’m doing this,” I said defiantly. “Because it’s the right thing to do.”

I could not have given him a more simple and true answer, and it seemed to hit Joe, who had built his career out of representing the underdog, right in the gut.

“OK,” he said in a different voice. “Then let’s do it.”

With that, my father and uncle went quiet. Not another word was said about it. I left there that night thinking that even my Newsom kin, the ones who had my best interests at heart, could get it wrong from time to time. While I was open to skepticism and second-guessing, indeed I welcomed such a process, in the end I had to trust my own gut. On the matter of civil rights for all Californians, there was no turning back. As for big Joe Cotchett, he ended up joining the ranks of lawyers fighting for the legal right to same-sex marriage.

From “Young Man in a Hurry: A Memoir of Discovery” by Gavin Newsom, published by Penguin Press, an imprint of Penguin Publishing Group, a division of Penguin Random House LLC. Copyright © 2026 by Gavin Newsom.