Report: Trump mad RFK Jr. hasn’t cut more vaccines or proven autism link

报道：特朗普不满小罗伯特·肯尼迪在疫苗削减及自闭症关联证明上进展缓慢

Ardent anti-vaccine activist and current US Health Secretary Robert F. Kennedy Jr. is reportedly on thin ice with Trump for not being anti-vaccine enough for the president’s liking, according to a report late Monday from The Wall Street Journal. 据《华尔街日报》周一晚间报道，坚定的反疫苗活动家、现任美国卫生与公众服务部部长小罗伯特·肯尼迪（Robert F. Kennedy Jr.）目前在特朗普面前处境岌岌可危，原因是他表现得不够“反疫苗”，未能达到总统的预期。

Trump has become fixated on the completely false, thoroughly debunked claim that vaccines cause autism, the Journal reported. People familiar with the president’s scattered thinking say Trump wants an autism remedy to be part of his legacy and thinks scaling back childhood vaccinations is a way to secure that achievement. 据《华尔街日报》报道，特朗普执着于一种完全错误且已被彻底驳斥的说法，即疫苗会导致自闭症。熟悉总统思维方式的人士称，特朗普希望将“治愈自闭症”作为其政治遗产的一部分，并认为缩减儿童疫苗接种是实现这一目标的途径。

As such, he has grown frustrated and disappointed that Kennedy hasn’t done more to cut back federal childhood vaccine recommendations or confirm a link to the neurodevelopmental disorder. In May, the president reportedly aired his disappointment, calling out Kennedy for having “the yips” that were preventing him from acting on his zealous anti-vaccine agenda while holding the highest health position in the country. In June, Trump reportedly vented in the Oval Office to Kennedy that he wasn’t doing enough. 因此，他对肯尼迪未能采取更多措施削减联邦儿童疫苗建议，或证实疫苗与该神经发育障碍之间的联系感到沮丧和失望。据报道，总统在五月份表达了他的不满，指责肯尼迪出现了“怯场”（the yips），导致他在担任国家最高卫生职位时，无法推进其激进的反疫苗议程。六月份，特朗普据称在椭圆形办公室向肯尼迪发泄不满，称他做得还不够。

Kennedy has reportedly been taken aback by the criticism—and it’s likely that outside public health and medical experts would have been, too, if they were present. To experts, Kennedy has been diligently working to undermine life-saving vaccines, endangering public health in the process. 据报道，肯尼迪对这些批评感到震惊——如果外部公共卫生和医学专家在场，他们很可能也会有同样的反应。在专家看来，肯尼迪一直在努力破坏挽救生命的疫苗，并在此过程中危及公共卫生。

Some notable examples include Kennedy’s overhaul of a key vaccine advisory committee, which he stacked with like-minded anti-vaccine allies. Those allies then arbitrarily ditched evidence-based recommendations for the birth dose of the hepatitis B vaccine and a combination shot against measles, mumps, rubella, and varicella (chickenpox) called MMRV. Kennedy also single-handedly trimmed the US childhood vaccine schedule to resemble that of Denmark’s, a small country with universal healthcare. He directed the Centers for Disease Control and Prevention to stop promoting seasonal flu vaccines with prepaid advertisements during a particularly deadly flu season. And he edited a CDC website to falsely link vaccines to autism. 一些显著的例子包括：肯尼迪改组了一个关键的疫苗咨询委员会，并安插了志同道合的反疫苗盟友。这些盟友随后随意抛弃了基于证据的建议，包括乙肝疫苗的出生剂量接种，以及针对麻疹、腮腺炎、风疹和水痘的联合疫苗（MMRV）。肯尼迪还一手削减了美国的儿童疫苗接种计划，使其类似于拥有全民医疗保健的小国丹麦。他指示美国疾病控制与预防中心（CDC）在一个流感高发季节停止投放季节性流感疫苗的预付费广告。此外，他还修改了CDC的网站内容，错误地将疫苗与自闭症联系起来。

Political risks

政治风险

Some of Kennedy’s efforts to trash vaccines have been blocked in court—namely, the changes to the advisory committee and the childhood vaccine schedule. But Kennedy is now laying the regulatory groundwork to sabotage vaccination rates in ways that can’t be undone so easily. 肯尼迪的一些破坏疫苗的努力在法庭上受阻，即针对咨询委员会和儿童疫苗接种计划的变更。但肯尼迪目前正在铺设监管基础，以难以轻易撤销的方式破坏疫苗接种率。

Kennedy’s anti-vaccine meddling in federal policy has been so apparent that polling in December found that Kennedy’s efforts to cut vaccines were broadly unpopular and “politically risky.” As such, White House political advisors have urged Trump and Kennedy to tone down the anti-vaccine rhetoric, which Kennedy appeared to be doing—publicly at least. In recent public appearances, Kennedy has avoided the topic of vaccines. But it seems Trump has not aligned with his advisors and still wants Kennedy to demolish vaccination policy with wild abandon, despite the health and political dangers. 肯尼迪对联邦政策的反疫苗干预非常明显，以至于12月的民意调查显示，肯尼迪削减疫苗的努力普遍不受欢迎，且具有“政治风险”。因此，白宫政治顾问敦促特朗普和肯尼迪降低反疫苗言论的调门，肯尼迪似乎也照做了——至少在公开场合是这样。在最近的公开露面中，肯尼迪避开了疫苗话题。但特朗普似乎并未与顾问保持一致，尽管存在健康和政治风险，他仍希望肯尼迪肆无忌惮地摧毁疫苗接种政策。

With Kennedy apparently not working fast enough, the Journal reported speculation that Kennedy could be sidelined or replaced. Already, Kennedy’s Medicare chief, Chris Klomp, has been “empowered to run every corner” of the Department of Health and Human Services on behalf of the Secretary, the paper reported. There are also rumors that Mehmet Oz, the Centers for Medicare and Medicaid Services administrator, could become health secretary after the midterm elections. 由于肯尼迪的工作进度显然不够快，据《华尔街日报》报道，有猜测称肯尼迪可能会被边缘化或撤换。该报报道称，肯尼迪的医疗保险负责人克里斯·克隆普（Chris Klomp）已被授权代表部长“管理卫生与公众服务部的每一个角落”。此外还有传言称，医疗保险和医疗补助服务中心（CMS）负责人穆罕默德·奥兹（Mehmet Oz）可能会在期中选举后出任卫生部长。