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MAHA lost bigly in the midterms—is it at death’s door?

As Democrats blew away their Republican rivals in an unprecedented midterm sweep Tuesday, the Make America Health Again movement also got bowled over, raising questions about the fate of the motley movement.

随着民主党人在周二史无前例的中期选举中横扫共和党对手，“让美国再次健康”（MAHA）运动也遭受重创，这引发了人们对这一杂牌运动命运的质疑。

MAHA—which has centered around anti-vaccine activist and current Health Secretary Robert F. Kennedy Jr.—saw many of its favored candidates and allies lose, while vocal adversaries of Kennedy won. And the coalition was splintering under stress even before the voting started; in recent months, supporters have accused Kennedy and the Trump administration of inaction and betrayals in their two years in power.

以反疫苗活动家、现任卫生部长小罗伯特·F·肯尼迪为核心的MAHA，眼看着许多其支持的候选人和盟友落选，而肯尼迪的公开反对者却赢得了胜利。甚至在投票开始前，该联盟就在压力下分崩离析；近几个月来，支持者们指责肯尼迪和特朗普政府在执政两年期间无所作为且背信弃义。

Now hobbled in Washington, shedding supporters, and showing little to no influence in voting booths, is MAHA on its deathbed? Or will it be reborn—possibly into a new group? Could it be assimilated into a blue platform—after sloughing off the more repulsive, conspiratorial aspects of Kennedy’s ideology? These are the questions circling in the aftermath of Tuesday’s bloodbath.

如今在华盛顿举步维艰、支持者流失，且在投票站几乎没有影响力，MAHA是否已濒临死亡？还是它会重生——或许转化为一个新的团体？在剥离了肯尼迪意识形态中那些令人反感、阴谋论色彩浓厚的部分后，它能否被纳入蓝色阵营？这些都是周二惨败后人们议论纷纷的问题。

In a social media poll Wednesday afternoon, Mary Talley Bowden—a dejected MAHA activist, anti-vaccine advocate, and doctor reprimanded for prescribing ivermectin to treat COVID-19—polled her followers about what should come next. She offered three options: Start a third party, join the Democrats, or overthrow the GOP. As of publication time, joining Democrats trailed at just 3 percent of the votes. The remaining votes were roughly split between overthrowing the GOP—whatever that means—and forming a third party, which had a small lead at 49 percent.

周三下午，在一项社交媒体民意调查中，玛丽·塔利·鲍登——一位沮丧的MAHA活动家、反疫苗倡导者，以及曾因开具伊维菌素治疗新冠肺炎而受到谴责的医生——询问她的追随者接下来该怎么办。她提供了三个选项：组建第三党、加入民主党，或推翻共和党。截至发稿时，加入民主党的选项仅获得3%的选票。其余选票大致平分在“推翻共和党”（无论这意味着什么）和“组建第三党”之间，后者以49%的得票率略微领先。

Cracking coalition That MAHA could fade out entirely or fracture into negligible shards seems like a very real possibility. Its collection of disparate groups and varied agenda items has always made its cohesiveness seem tenuous. A Politico poll in June revealed that people who identified as MAHA had different ideas of what the movement’s priorities are (or should be), as well as different political leanings, and sometimes opposing ideologies.

联盟破裂：MAHA完全消失或分裂成微不足道的碎片，似乎是一个非常现实的可能性。它由不同的群体和多样的议程组成，这使得其凝聚力一直显得十分脆弱。六月份的一项Politico民调显示，自认为是MAHA成员的人对于该运动的优先事项（或应有的优先事项）有着不同的看法，政治倾向各异，有时甚至存在对立的意识形态。

Some within the movement embrace (or at least accept) Kennedy’s fringe beliefs, such as his zealous anti-vaccine views, his rejection of germ theory, and his false claim that 5G is damaging our brains and causing cancer. Some also believe, like Kennedy, in chemtrails and want all mRNA vaccines banned. There are members who support his plan to ban water fluoridation and also seem fine with his false claim that Lyme disease was created by the US military as a military weapon.

运动内部的一些人拥护（或至少接受）肯尼迪的边缘信仰，例如他狂热的反疫苗观点、对细菌理论的否定，以及他关于5G正在损害我们大脑并导致癌症的虚假主张。有些人也像肯尼迪一样相信“化学尾迹”理论，并希望禁止所有mRNA疫苗。还有成员支持他禁止饮用水氟化的计划，并且似乎对他关于莱姆病是由美国军方作为军事武器制造的虚假说法也感到认同。

Others, meanwhile, have been attracted to MAHA by the more reasonable, non-absurd issues Kennedy touts. Those include improving the quality of Americans’ food and diets, reducing their exposure to environmental contaminants, and limiting the influence of industry and corporate interests on Americans’ health, particularly limiting the sway of pharmaceutical and chemical companies.

与此同时，其他人则被肯尼迪所宣扬的更合理、非荒谬的议题所吸引，从而加入了MAHA。这些议题包括改善美国人的食品和饮食质量、减少他们接触环境污染物的机会，以及限制工业和企业利益对美国人健康的影响，特别是限制制药和化工公司的势力。

With various priorities, Kennedy and MAHA leaders have spent the past two years finding ways to disappoint their members. Some like Bowdon are angered that Kennedy has yet to ban mRNA vaccines. In February, Kennedy sparked particularly intense backlash among supporters for embracing Trump’s decision to increase domestic production of the pesticide glyphosate—a pesticide many in the MAHA movement wanted banned.

由于优先事项各不相同，肯尼迪和MAHA的领导人在过去两年里一直在寻找让成员们失望的方法。像鲍登这样的一些人对肯尼迪至今尚未禁止mRNA疫苗感到愤怒。二月份，肯尼迪因支持特朗普增加草甘膦农药国内产量的决定，在支持者中引发了特别强烈的反弹——而这正是许多MAHA运动成员希望禁止的农药。

Kennedy further fueled feelings of betrayal in September by appearing at a MAHA-branded summit that had hefty corporate sponsorships, including from behemoths such as Walmart, Anthropic, OpenAI, Grail, and UnitedHealth. “MAHA was supposed to expose the revolving door between money, industry and government, not build its own,” Robert Malone, a fringe scientist and previous Kennedy ally, wrote in a scathing response to the summit.

九月份，肯尼迪出席了一个以MAHA为品牌的峰会，该峰会获得了包括沃尔玛、Anthropic、OpenAI、Grail和联合健康集团等巨头在内的大量企业赞助，这进一步加剧了支持者的背叛感。曾是肯尼迪盟友的边缘科学家罗伯特·马龙在对该峰会的一篇尖锐回应中写道：“MAHA本应揭露金钱、工业和政府之间的旋转门，而不是建立自己的旋转门。”

Signs of dying Going into the midterms on Tuesday, the number of disenchanted MAHA members had mounted. In October, Tiffany Cianci, a former Kennedy supporter, published a MAHA scorecard, which lists 42 promises that Kennedy and leaders made to the MAHA members and then largely broke. The scorecard reports 37 promises broken, five partially fulfilled, and zero kept.

垂死迹象：进入周二的中期选举时，对MAHA感到失望的成员数量已经增加。十月份，肯尼迪的前支持者蒂芙尼·钱西发布了一份MAHA记分卡，列出了肯尼迪及其领导层向MAHA成员做出但随后大部分违背的42项承诺。记分卡显示，37项承诺被违背，5项部分实现，零项完全兑现。

One of the “partially kept” promises was removing synthetic dyes from foods, particularly children’s foods. Kennedy announced an effort to do that—with much ballyhoo—but later admitted that the FDA did not ban or even have an agreement with food companies to remove the dyes. Instead, Kennedy said he has an “understanding” with food companies. The dyes remain in foods.

其中一项“部分实现”的承诺是去除食品，特别是儿童食品中的合成色素。肯尼迪大张旗鼓地宣布要为此努力，但后来承认FDA并没有禁止这些色素，甚至没有与食品公司达成去除色素的协议。相反，肯尼迪称他与食品公司达成了某种“谅解”。这些色素依然存在于食品中。

In a press release, Cianci wrote that the scorecard revealed “an abysmal string of broken commitments and betrayals.” It also contained a direct quote from her, saying: “I believed deeply in the promise that MAHA represented, particularly the possibility of confronting chronic disease and building a healthier future for America’s children. But belief was never supposed to mean blind loyalty.”

钱西在一份新闻稿中写道，这份记分卡揭示了“一连串糟糕的违背承诺和背叛行为”。其中还包含她的一句直接引语：“我曾深信MAHA所代表的承诺，特别是对抗慢性病和为美国儿童建设更健康未来的可能性。但信仰绝不应该意味着盲目的忠诚。”

The press release included quotes from several other prominent MAHA leaders, all expressing disappointment with Kennedy and the Trump administration. Later in October, Calley Means, a top ally and senior advisor to Kennedy, resigned from his position, reportedly “disillusioned” and frustrated by delays in food policy changes sought by MAHA.

该新闻稿还引用了其他几位知名MAHA领导人的话，他们都表达了对肯尼迪和特朗普政府的失望。十月下旬，肯尼迪的顶级盟友兼高级顾问卡利·米恩斯辞去了职务，据报道，他对MAHA所寻求的食品政策改革迟迟未能落实感到“幻灭”和沮丧。

Another prominent figure to fall out with Kennedy was Vani Hari, an online influencer who goes by “food babe” and has previously identified as a “MAHA Mom.” As voting results were streaming in Tuesday night, Hari posted a comment on social media that she had given Politico months earlier, saying: “Women don’t come out to vote for glyphosate and war,” referring to the pesticide Kennedy had embraced and the Iran war.

另一位与肯尼迪决裂的知名人物是网络红人瓦尼·哈里，她以“食物宝贝”为名，此前曾自称为“MAHA妈妈”。周二晚上，随着投票结果不断出炉，哈里在社交媒体上发布了她几个月前对Politico发表的评论，称：“女性出来投票不是为了草甘膦和战争，”她指的是肯尼迪所支持的农药以及伊朗战争。

Midterm devastation In the wake of the blue sweep, it’s clear that more than half of the 24 MAHA-endorsed candidates lost their races Tuesday. That includes Senate candidate Ken Paxton in Texas and Zach Lahn, who ran for governor of Iowa. Lahn in partic

中期选举的毁灭性打击：在民主党横扫之后，很明显，MAHA背书的24名候选人中，超过一半在周二的竞选中落败。其中包括德克萨斯州的参议院候选人肯·帕克斯顿和竞选爱荷华州州长的扎克·拉恩。拉恩尤其……