vaccine

President Trump succeeded in his effort to defeat Sen. Bill Cassidy in Louisiana’s Republican primary, a signal of the enduring strength of the president’s hold on his party despite an unpopular war and soaring gas prices.

Cassidy was one of seven Republican senators in 2021 who voted to convict Trump on the impeachment charge of inciting an insurrection on Jan. 6 that year. He placed last in a three-way race Saturday against U.S. Rep. Julia Letlow, who was endorsed by Trump, and state Treasurer John Fleming.

“His disloyalty to the man who got him elected is now a part of legend, and it’s nice to see that his political career is OVER!” Trump said of Cassidy on social media late Saturday.

With 92.3% of ballots tallied, Letlow had 44.8% of the vote and Fleming had 28.3%. Cassidy trailed with 24.7%.

Letlow and Fleming will advance to a runoff next month. Whoever wins that contest is virtually assured victory in November in deep-red Louisiana. In his last reelection in 2020, just months before his vote to convict Trump, Cassidy won 59% of the vote.

In a primary season where Trump is crusading to vanquish members of his party with whom he’s been at odds, the Louisiana race comes just days before the president tries to oust another Republican foe, Rep. Thomas Massie of Kentucky. But Trump has opted so far to stay out of a hard-fought Texas GOP runoff later this month between incumbent Sen. John Cornyn, a traditional conservative, and state Atty. Gen. Ken Paxton, who is more politically aligned with the president’s MAGA movement.

Massie, who faces a primary that has become the most expensive of its kind, said Sunday on ABC’s “This Week” that’s he’s confident he will prevail Tuesday despite a string of social media insults from the president and fundraising by Trump allies such as billionaires Miriam Adelson and Paul Singer.

“I think it’s going to help my fundraising,” Massie said. “People don’t like this.”

With state polls showing Massie with a slight lead, the congressman said, “that’s why the president is losing sleep and tweeting about me.”

Trump’s success in defeating Cassidy left the Louisiana senator defiant: “Let me just set the record straight. Our country is not about one individual, it is about the welfare of all Americans and it is about our Constitution.”

“If someone doesn’t understand that and attempts to control others through using the levers of power, they’re about serving themselves, they’re not about serving us,” he added.

Trump has attacked Cassidy for his 2021 vote and his opposition to some aspects of his agenda, particularly vaccine and other health policies pushed by Health Secretary Robert F. Kennedy Jr. During Kennedy’s Senate confirmation hearings last year, Cassidy, who is a doctor, expressed deep skepticism about the nominee’s anti-vaccine views, but ultimately voted to confirm him.

Trump recently blamed Cassidy for thwarting the nomination of wellness influencer Casey Means as surgeon general. Means is a longtime ally of Kennedy’s, and Cassidy had also questioned her stance on vaccinations.

On Saturday morning, Trump continued his attacks, calling Cassidy a “a disloyal disaster” on social media. He later congratulated Letlow on her first-place finish.

In his concession speech, Cassidy said: “I find that people of character and integrity don’t spend their time attacking people on the internet.”

Despite the president’s opposition to his candidacy, Cassidy had run ads featuring images of Trump, praising top White House issues that the senator had supported including the president’s massive tax package enacted last year, while casting Letlow as insufficiently conservative.

The outcome also notches a high-profile win for Kennedy’s political operation, which supported Letlow and opposed Cassidy in the race. The two men have repeatedly clashed over nominations and the department’s changes to vaccine policy. With certainty of his departure when his term ends in January, Cassidy could make the health secretary’s job even more difficult as he finishes out his term with an eye to his legacy and priorities.

Cassidy’s departure will also leave a leadership vacuum for the GOP atop the Senate Health Committee next year. The panel oversees health agencies and confirmations for key leadership positions at the agencies, and Cassidy brought his medical expertise to the role. He has built a reputation as a healthcare policy wonk willing to work across the aisle.

Only two other Republican senators who broke with Trump in his 2021 impeachment trial, Susan Collins of Maine and Lisa Murkowski of Alaska, remain in the Senate. Collins, who represents a state Trump lost in 2024, has largely avoided the president’s wrath while she fights for her political life in one of the most competitive races of the midterms. Murkowski won reelection in 2022.

“You can disagree with President Trump, but if you try to destroy him you’re going to lose because this is the party of Donald Trump,” South Carolina Sen. Lindsey Graham said Sunday on NBC’s “Meet the Press.”

“There’s no room in this party to destroy his agenda or to destroy him or his family as a Republican,” Graham said. “It’s just a reality.”

Cohrs Zhang writes for Bloomberg. Bloomberg writers Tony Czuczka and Se Young Lee contributed to this report.

HARARE, Zimbabwe — Zambia is accusing the United States of tying a $2-billion deal for critical health assistance to access to the southern African nation’s rich mineral assets, and calling the outgoing U.S. ambassador’s allegations of corruption “mischievous” and “undiplomatic.”

The comments by Zambia’s foreign affairs minister, Mulambo Haimbe, on Monday brought into the open simmering tensions over President Trump’s “America First” strategy, which is reshaping aid to Africa into transactional agreements.

Some African leaders and health experts have criticized the new U.S. stance and its demands for sensitive health data in exchange for badly needed support for health systems strained by the Trump administration’s dismantling of foreign aid. Some say they would not receive access to health innovations like vaccines in return.

The U.S. is also seeking to challenge China, a dominant player in Zambia and much of Africa, whose minerals are critical to the green energy transition, including inputs for solar panels, electric vehicle batteries and energy storage systems.

Zambia says talks stalled over data-sharing demands

In a statement, Haimbe described the accusations of Zambian graft and negotiation inertia by outgoing U.S. ambassador Michael Gonzales as “mischievous” and “deeply regrettable, undiplomatic and inconsistent with the spirit of mutual respect.”

Haimbe also accused the U.S. of tying access to critical minerals to the conclusion of the health deal, which Gonzales earlier dismissed as “alarmist allegations” that he called “disgusting” and “absolutely and patently false.”

Negotiations have continued for months to conclude the deal, one of dozens the Trump administration is pursuing in some of the world’s most aid-dependent countries.

Gonzales in late April said Zambian leaders had “abdicated their responsibilities, letting the United States pay for healthcare while officials diverted government funds to their own pockets.” He said Zambian authorities had “ignored” U.S. overtures to conclude a new deal.

But Haimbe said negotiations had stalled over “unacceptable” data-sharing demands “in violation of our citizens’ right to privacy” and “the insistence on preferential treatment of U.S companies over Zambia’s critical minerals.”

Zambia “takes the view, first and foremost, that Zambians must have a say on how her critical minerals are used, and second that no one strategic partner is to be treated preferentially to others,” he said.

The U.S. Embassy did not immediately respond to a request for comment.

U.S. says its approach aims to reduce donor dependency

The U.S. approach replaces decades of engagement anchored in the now-dismantled United States Agency for International Development and the President’s Emergency Plan for AIDS Relief, or PEPFAR.

In their place, U.S. officials are negotiating country-by-country agreements that recast aid as a transaction, tying funding to conditions including commercial provisions, domestic financing commitments, disease surveillance, pathogen sharing and even religion.

Since late last year, the U.S. has signed agreements with about 30 countries, many in Africa. Washington says the approach is meant to reduce donor dependency, promote local ownership and safeguard American interests, including against an aggressive China that dominates trade in Africa but contributes less aid.

There has been pushback.

Ghana last week said it had rejected a proposed deal over provisions granting broad access to sensitive health data without safeguards. Zimbabwe walked away from a $367-million package over similar concerns. In Kenya, a $2.5- billion agreement signed in December has been put on hold after a court challenge arguing it violates data protection laws.

In Lesotho, draft U.S. proposals sought 25 years of access to health data and biological samples before local officials secured a shorter five-year deal.

Health experts say data would largely flow one way

Critics say the data-sharing demands tilt toward U.S. interests and warn the information-sharing would largely go in just one direction: toward Washington.

The new agreements aim to ensure the flow of disease surveillance data and biological samples, but through bilateral channels, after the U.S withdrew from the World Health Organization in January, said Asia Russell, executive director of advocacy group Health GAP.

Countries currently report disease outbreaks primarily through the WHO, which coordinates responses and is negotiating new frameworks on pathogen-sharing and equitable access to vaccines.

The U.S., now outside those talks, is pursuing direct access instead.

“[The U.S. wants] to understand what’s actually happening,” said Jen Kates, a senior vice president at the Washington-based nonprofit KFF. “But they are trying to do it in a very different way.”

Health advocates say this risks creating a parallel global health system. In Zimbabwe, a government spokesperson in February said the government terminated negotiations because the U.S. was not offering a “corresponding guarantee of access to any medical innovations — such as vaccines, diagnostics or treatments — that might result from that shared data.”

“That raises serious concerns about who benefits,” said Atilla Kisla of the Southern Africa Litigation Center.

Advocates point to the harsh experience of the COVID-19 pandemic, when African countries contributed data and samples but were largely last in line for vaccines.

Experts warn against health as a ‘bargaining chip’

The agreements with the U.S. are drawing criticism for closed-door negotiations and limited public scrutiny.

“Secrecy is at the center of this. That puts accountability for results at risk,” said Health GAP’s Russell. “It’s impossible to evaluate these deals properly without seeing the full terms. Part of what made PEPFAR successful was transparency. Now that’s been taken away.”

The deals also come with tighter financial conditions. Many include reduced funding compared to previous levels of U.S. assistance, while requiring countries to increase domestic health spending, with aid at risk if targets are not met.

“These are going to be very heavy lifts,” said KFF’s Kates. “Countries are already under strain.”

Critics say some agreements also advance U.S. commercial and political interests, blurring the line between aid and transactional diplomacy.

“When health becomes a bargaining chip, everyone becomes less safe,” Russell warned.

Mutsaka and Imray write for the Associated Press. Keketso Phakela in Maseru, Lesotho, contributed to this report.

WASHINGTON — President Trump says he’s nominating Fox News Channel contributor Nicole Saphier for surgeon general after Casey Means’ path forward stalled in the Senate over questions about her experience and her stance on vaccines.

In a social media post Thursday, the Republican president said Saphier is “a STAR physician who has spent her career guiding women facing breast cancer through their diagnosis and treatment.”

Senators of both major political parties grilled Means on her vaccine stance and other health topics during a tense confirmation hearing, deepening doubts about her ability to secure the votes she needs for the role.

Earlier Thursday, Trump on social media commended Means as “a strong MAHA Warrior,” also criticizing the “intransigence and political games” from GOP Sen. Bill Cassidy of Louisiana, who interrogated Means about vaccines during the hearing.

The withdrawal of Means’ nomination to be the next U.S. surgeon general is a blow to Health Secretary Robert F. Kennedy Jr. and his movement, which championed Means for the role as the country’s top doctor despite her nontraditional path in medicine and some controversial past remarks on vaccines and other health topics.

The withdrawal comes after tense exchanges between Means and lawmakers of both parties threw into question whether she could secure enough votes to advance out of the Senate health committee. Her nomination had languished since her confirmation hearing in late February, even as activists from Kennedy’s Make America Healthy Again movement orchestrated a push to support her bid by surging phone calls to Republican senators Lisa Murkowski of Alaska and Susan Collins of Maine, who had both indicated reservations with the pick.

In nominating Means last May, Trump sought to hire a close ally of Kennedy as the nation’s doctor. Means, a Stanford-education physician whose disillusionment with the healthcare system led to her career as an author and entrepreneur, promotes ideas popular with the MAHA movement, including that Americans are overmedicalized and that diet and lifestyle changes should be at the center of efforts to end widespread chronic disease.

Bill Cassidy’s roles as a lawmaker, a doctor and a political candidate will collide on Wednesday as he questions Health Secretary Robert F. Kennedy Jr. in two high-stakes Senate hearings.

The Louisiana Republican chairs one of the Senate committees that oversees Kennedy’s department and sits on another, giving him two chances to interrogate the secretary about his plans for an agency responsible for public health programs and research. As a doctor, Cassidy has clashed with Kennedy’s anti-vaccine ideas even though he provided crucial support for the health secretary’s nomination last year.

At the same time, Cassidy is fighting for his political future in next month’s primary in Louisiana, where President Trump has endorsed one of his opponents in an unusual attempt to oust a sitting senator from his own party.

How Cassidy handles the hearings could affect his chances at a pivotal moment of his reelection campaign and set the tone for how Congress oversees the nation’s health agenda at a time of rampant distrust and misinformation.

Cassidy hasn’t faced Kennedy in public since September. In the subsequent months, Kennedy has attempted a dramatic rollback of vaccine recommendations that, if not blocked by an ongoing lawsuit, could undermine protections against diseases like flu, hepatitis B and RSV.

After a backlash, Kennedy has also pivoted to spending more time talking about less controversial topics like healthy eating — albeit with his own spin, including sharing exaggerated claims that various ailments can be cured by diet alone.

Cassidy will have to decide on Wednesday whether to grill Kennedy on vaccines, an issue deeply important to him, or put their differences aside and prioritize loyalty to the Trump administration.

“He’s taken a risk showing any sort of resistance to RFK,” said Claire Leavitt, an assistant professor at Smith College who studies congressional oversight. “He may pay an electoral price for that.”

Cassidy has long advocated for vaccines

Cassidy has spent years walking a political tightrope. He’s one of the few Republican senators who voted to convict Trump during an impeachment trial after the Jan. 6, 2021, attack on the U.S. Capitol.

As a liver doctor, he advocated for babies to receive hepatitis B vaccines shortly after birth, a step that could have prevented the disease in his patients. But when Trump nominated Kennedy, a longtime anti-vaccine activist, Cassidy supported him. He did so after securing various commitments, including that Kennedy would work within the current vaccine approval and safety monitoring system and support the childhood vaccine schedule.

The vote for Kennedy did not appear to mollify Trump. The president endorsed U.S. Rep. Julia Letlow, one of Cassidy’s two primary opponents.

Cassidy also faces opposition from Kennedy’s allies in the “Make America Healthy Again” movement, a group that includes both anti-vaccine activists and a wide variety of other crusaders for health and the environment. The MAHA PAC, aligned with Kennedy, has pledged $1 million to Letlow’s campaign. While the organization hasn’t publicly said so, some have questioned whether the support is partly in retaliation against Cassidy for criticizing Kennedy’s vaccine policy agenda.

“I’m not really sure what MAHA’s beef is,” Cassidy told reporters earlier this month. “Let me point out that I am the reason that Robert F. Kennedy is now the secretary of HHS. He would not have gotten there otherwise.”

Cassidy argues that he has “strongly supported” the MAHA agenda, especially when it comes to the fight against ultraprocessed foods. However, the physician-turned-senator acknowledged that he and MAHA have “disagreed on vaccines.”

“We’ve seen, frankly, that I am right,” Cassidy added, pointing to recent measles-related deaths of children who were not vaccinated.

At a hearing in September, he slammed Kennedy’s decision to slash funding for mRNA vaccine development. He interrogated Kennedy over his attempt to replace members of a vaccine committee, suggesting the new members could have conflicts of interest. He also raised concerns that Kennedy’s vaccine policy decisions could be making it harder for Americans to get COVID-19 shots.

Later that month, Cassidy convened a hearing featuring former U.S. Centers for Disease Control and Prevention Director Susan Monarez, who was ousted by Kennedy less than a month into her tenure after they clashed over vaccine policy, and former CDC Chief Medical Officer Debra Houry, who resigned in August citing an erosion of science at the agency.

“I want to work with the president to fulfill his campaign promise to reform the CDC and Make America Healthy Again. The president says radical transparency is the way to do that,” Cassidy said at the time.

Experts say Cassidy’s vaccine stance might not hurt him

Political consultants said they expect Cassidy’s primary opponents, Letlow and Louisiana Treasurer John Fleming, to seize on any sound bites from Wednesday’s hearings that can make Cassidy seem at odds with the Trump administration.

But Dorit Reiss, a vaccine law expert at UC Law San Francisco, said the political risk of advocating for vaccines may not be as strong among Republicans as some people assume.

“He’s probably not alienating voters by focusing on the issue and calling it out,” she said.

Louisiana political consultant Mary-Patricia Wray said she thinks most diehard MAHA voters already know who they are voting for, and it’s probably not Cassidy.

Instead, she said, he may still be able to appeal to Democrats who switch their party registration to vote in the primary, as well as a wide swath of still-undecided Republican voters who care about the same health care affordability issues he advocates for every day in Congress.

“If I was advising Bill Cassidy, I would tell him your goal here is not to get out unscathed,” Wray said. “Your goal is to prove that your consistency on issues regarding public health is an asset in your campaign, not a detriment.”

Election outcome will shape future oversight of HHS

Also at stake if Cassidy doesn’t make it to November’s general election is what will happen to his responsibility to oversee the massive U.S. Department of Health and Human Services as the chair of the Senate Health, Education, Labor and Pensions committee.

Leavitt, the Smith College professor, said seniority typically plays the most important role in who chairs Senate committees. She said another Republican in today’s increasingly hyperpartisan Congress may not be as willing as Cassidy to check Kennedy’s power.

Reiss, the vaccine law expert, said she wishes Cassidy had done more hearings or introduced legislation to rein in Kennedy. And she said the senator bears the blame for allowing Kennedy to bring unfounded vaccine fears into the government in the first place.

“His original sin, of course, was voting for Kennedy at all,” Reiss said.

Swenson writes for the Associated Press. AP writer Sara Cline contributed to this report.

Pete Hegseth says the decision is based on the principle of ‘medical autonomy’ and criticises the mandate as ‘overreaching’.

United States Defense Secretary Pete Hegseth has said that the flu vaccine will no longer be obligatory for members of the country’s military, the latest step under President Donald Trump to shift vaccine policy in the federal government.

Hegseth said in a video shared on social media on Tuesday that the decision was based on principles of “medical autonomy” and religious freedom.

“We’re seizing this moment to discard any absurd, overreaching mandates that only weaken our warfighting capabilities. In this case, this includes the universal flu vaccine and the mandate behind it,” said Hegseth.

“The notion that a flu vaccine must be mandatory for every service member, everywhere, in every circumstance at all times is just overly broad and not rational.”

The Trump administration has framed vaccine refusal as a matter of personal moral and religious principle, rolling back some policies meant to safeguard against preventable diseases.

Hegseth’s directive allows various military services to request that the mandate be kept in place, giving them a window of 15 days to do so.

The announcement comes after what health officials described as a particularly severe flu season when infections surged in the US. Public health experts have recommended that everyone aged six months or older get an annual flu vaccine.

The second Trump administration has reflected some of the backlash to public health guidelines and mandates that were implemented during the COVID-19 pandemic.

Hegseth himself has called that period an “era of betrayal” for the country’s armed forces. More than 8,400 members of the military were ejected for failure to abide by a 2021 mandate to take the COVID-19 vaccine.

The Trump administration has also rolled back vaccine recommendations in other areas, announcing earlier this year that it would not recommend flu shots and other forms of vaccines for all children. A lawsuit was filed challenging that effort, and the policy was temporarily blocked by a federal judge as the legal challenge plays out.

Health Secretary Robert F. Kennedy Jr. on Thursday faced federal lawmakers for the first time since September as he sought to defend a more than 12% proposed cut to his department’s budget and dodge arrows from angry Democrats along the way.

In his testimony before the House Ways and Means Committee, kicking off an expected sprint of seven budget hearings he’ll attend across congressional committees and subcommittees over the next week, Kennedy emphasized the administration’s work to reform dietary guidelines and crack down on waste, fraud and abuse.

Republicans on the committee praised Kennedy as a “breath of fresh air” and asked him to promote his department’s recent actions. Democrats, who have been furious over Kennedy’s sweeping overhaul of the U.S. Department of Health and Human Services, largely had a different agenda.

They needled Kennedy on what they viewed as the Trump administration’s hypocrisy on fraud, demanded to know why he was cutting budgets for various programs and slammed his efforts to pull back vaccine recommendations and messaging, which they said have caused unnecessary deaths.

Kennedy fired back, often raising his voice as he accused the Democrats of misrepresenting his work and past statements.

Here are three standout moments from Thursday’s hearing:

A standoff over measles

One heated exchange early in the hearing came between Kennedy and Rep. Linda Sanchez. The California Democrat decried recent measles outbreaks across the U.S. and asked Kennedy to answer for the fact that under his leadership, the Centers for Disease Control and Prevention pulled back public health messaging supporting vaccination.

“As a mother, this horrifies me,” Sanchez said. “Did President Trump approve your decision to end CDC’s pro-vaccine public messaging campaign?”

Kennedy repeatedly refused to answer, saying first he wanted to respond to the “misstatements that you’ve made” and later praising the Trump administration’s record on preventing measles, although protections against the disease have eroded in some parts of the country as vaccination rates have dropped.

“That’s not answering my question,” Sanchez said as the two talked over each other.

But Sanchez also got Kennedy, a longtime anti-vaccine activist before he entered politics, to acknowledge that a 6-year-old who died of measles last year in West Texas could have potentially been saved with vaccination.

“Do you agree with the majority of doctors that the measles vaccine could have saved that child’s life in Texas?” she asked.

“It’s possible, certainly,” Kennedy said.

RFK Jr. denies talking about Black children being ‘re-parented’

A fight erupted between Kennedy and Rep. Terri Sewell, a Democrat from Alabama, when Kennedy vehemently denied making remarks he’d said in 2024.

The comments dated back to when Kennedy was a presidential candidate. On the “High Level Conversations” podcast last July, he said, “Psychiatric drugs — which every Black kid is now just standard put on Adderall, SSRIs, benzos, which are known to induce violence, and those kids are going to have a chance to go somewhere and get re-parented to live in a community where there’ll be no cellphones, no screens, you’ll actually have to talk to people.”

“Have you ever re-parented, or parented, I should say, a Black child?” Sewell asked, as her staff held up a poster featuring an abbreviated version of the quote.

“I don’t even know what that phrase means,” Kennedy said. “I’m not going to answer something I didn’t say.”

“You’re making stuff up,” he later claimed.

A recording of the podcast shows he made the comments during a conversation about free rehabilitation facilities he was proposing opening at the time in rural areas around the country.

Health and Human Services spokesperson Emily Hilliard said Kennedy before joining the administration was referring to spaces where young people facing alienation, mental health challenges and despair could get re-parented, which she said was a psychotherapy term for “developing the emotional regulation, discipline, boundaries, and self-worth that may not have been established in childhood.”

For Kennedy and his former party, civility is the exception

Kennedy spent most of his life as a Democrat, the scion of one of the nation’s most famous political families. Both Republicans and Democrats during the hearing began their remarks by expressing their admiration of Kennedy’s relatives, among them former President John F. Kennedy.

But again and again throughout Thursday’s hearing, the fraying of bonds between Kennedy and his former party was on full display as spiteful comments were passed back and forth.

The Health secretary grew defensive and visibly agitated. He repeatedly criticized Democratic lawmakers for not giving him a word in edgewise.

“They’ve all shut me up,” Kennedy said at one point. “They give a little speech that they can go and market, you know, for fundraising, and they don’t allow me to answer the question.”

On a few rare occasions, the exchanges were civil. One representative, Gwen Moore of Wisconsin, used humor to make that happen.

“I promise to give you easy, comfortable questions if you don’t yell at me and hurt my feelings,” she told Kennedy. He promised he wouldn’t.

Swenson writes for the Associated Press.