Blog

To Vaccine or not to vaccine?

Just like Howard Lutnick fired the members of the two advisory boards consulting on labor statistics, RFK, jr fired the 17 members of the CDC’s vaccine advisory board. He then replaced them with 8 new members of his choosing. Pardon me but this sucks. I know that it is likely that all of the old board were probably appointed by the HHS or CDC head under Biden and were probably all gung-ho for all vaccines (of this I am not certain) and that Kennedy is a vaccine skeptic, but that is a reason for modifying the board. A healthier dialogue would occur if let’s say Kennedy had dismissed half of the old board and added his 8 new members. The board, the Advisory Committee on Immunization Practices, or ACIP, helps to determine which vaccines children and adults receive, what gets covered by insurance and which shots are made available free of charge to  low-income children.

Just like the old board was probably vaccine supporters I would presume that Kennedy’s new board are all critics of current vaccine policies. In fact, one member is has served on the board of the National Vaccine Information Center — an advocacy group that warns against vaccine risks. Other members have cautioned against the COVID vaccines and have questioned the safety of some vaccines. A former director of the CDC’s immunization program says “I have spent a career of more than 50 years in vaccinology, and I have never seen the names of most of those people.” The HHS said in a statement that the new members are “highly credentialed doctors, scientists, and public health experts committed to evidence-based medicine, gold standard science, and common sense” and that the group “will demand definitive safety and efficacy data for any new vaccine recommendations.” If true then I hope it shows us the evidence that corroborates its recommendations.

One of the first actions of the newly constituted committee was to recommend that adults and children no longer receive flu vaccines containing trace amounts of thimerosal, a form of mercury that sometimes was added to vaccines for sterilization. However, thimerosal is rarely used in vaccines anymore. Then to the surprise of some of Kennedy’s critics, a majority of the panel voted to reaffirm the existing CDC recommendations that anyone over six months receive the annual flu shot. They also voted 5-2 in favor of a monoclonal antibody shot made by Merck that offers protection against respiratory syncytial virus, or RSV, for infants younger than 8 months. (See https://www.npr.org/sections/shots-health-news/2025/06/26/nx-s1-5438485/cdc-acip-rfk-thimerosal-vaccines).

Also surprising to some the vote on thimerosal was not unanimous, there was one dissenter who said “There is no scientific evidence that thimerosal has caused a problem.”

Kennedy, of course, has a long history of warning about the dangers of vaccines and has been labelled as “anti-vax.” He, in his senate confirmation hearings said – somewhat unconvincingly – that he would do nothing that makes it difficult or discourages people from taking vaccines and that he was not going to “take people’s vaccines away from them.” Yet early on he fired Dr. Susan Monarez as director of the Centers for Disease Control and Prevention, for not preapproving recommendations made without scientific evidence. She said in a Senate hearing that more children will die of vaccine-preventable illnesses under Kennedy’s leadership. I am surprised that she took the job in the first place, knowing Kenney’s history.

One of Kennedy’s first directives was to announce that the CDC would no longer recommend COVID shots for healthy children and pregnant women. This reverses an earlier statement by the CDC that the vaccine was “crucial for pregnant women to protect themselves and their infants.” Kennedy said “”We are now one step closer to Donald Trump’s promise to Make America Healthy Again.” Kennedy’s two major heads at CDC were with him when he made the announcement, FDA commissioner Dr. Martin Makary and National Institutes of Health Director Dr. Jay Bhattacharya – both of whom I respect. “It’s common sense and it’s good science,” Dr. Bhattacharya said. “There’s no evidence healthy kids need it today and most countries have stopped recommending it for children,” said Dr. Makary who is a surgeon at Johns Hopkins is noted for his criticism of Biden’s health officials for ignoring natural immunity during COVID. Dr. Bhattacharya (of Stanford University) also endorsed natural immunity as was one of the authors of AIER’s the Great Barringon Declaration. https://aier.org/the-great-barrington-declaration/

Naturally, members of the medical establishment sharply criticized the announcement. Dr. Steven J. Fleischman, president of the American College of Obstetricians and Gynecologists said “As ob-gyns who treat patients every day, we have seen firsthand how dangerous COVID infection can be during pregnancy and for newborns who depend on maternal antibodies from the vaccine for protection,” he said in a statement. “The science has not changed. It is very clear that COVID infection during pregnancy can be catastrophic and lead to major disability.”

Who to believe and what to do? First, there is even less access to studies critical of vaccines than there are studies critical of global warming. For instance, I was once told that while the shingles vaccine was effective in preventing the disease among seniors, but that the probably of actually getting shingles increased dramatically between the first dosage and the second shot. Yet I could not find the source of that observation even though I was assured that it existed. Second, given all the skepticism about vaccines one has every right to be wary. Initially all the reporting on the effects of the COVID shots was positive until evidence kept mounting over possible dangerous side effects. To date, most reporting will say that such effects are exceedingly rare and findings to the contrary are labelled “contentious.” Third, flu shots are notoriously ineffective for a variety of reasons. Yet doctors keep recommending almost without caveat that seniors take the enhanced flu vaccine. Once again, googling whether seniors should not take the shot yields vitually no citations. The sole exception this one finding that the flu shot was not as effective for seniors as advertised.

https://drmatthewmccoy.substack.com/p/the-flu-shot-doesnt-really-keep-older

Pardon me if I am a skeptic. I know that there are contrary studies on the efficacy of certain vaccines out there, yet that information is not readily available. I would like all the relevant information to be easily assessable. Perhaps, if there is one good thing that Kennedy, his people and advisors can do is to make sure that the public is well informed about vaccines from both advocates and critics.

Lastly, the president has had several rants about giving vaccines to children and the amount of vaccines given. The president has also weighed in on whether the childhood vaccines should be given together or separately. Pardon me but I wish he would be quiet and let the experts talk instead. I had all the childhood diseases but one of the few times I remember having fear was due to polio. I had a couple of classmates who had polio and wore braces on their legs. There was an epidemic when I was in elementary school and I remember that my parents were scared for us, for the children in our church and Mom’s school. The Salk vaccine came to our rescue in 1955 when I was in the 5^th grade. We were all vaccinated and I do not recall any of my future classmates being stricken. We later got the Sabin boosters given to us on a sugar cube. So let us all have a measured and open discussion of the efficacy of vaccines. Let us see the research that has heretofore not been published by the medical journals that are contrary to the views of the medical establishment, big pharma and the government. But let’s tone down the rhetoric and limit the unhinged remarks. There are few things more important than the nation’s health especially that of its children.

Fed funds and Mortgage rates

I hate doing the eye-ball thing but although mortgage rates are more closely aligned with the 10 year treasury, it sure looks like they do have some relationship with the Fed funds rates. There is obvously a correlation coefficient out there and if I were still at the university I could tell you what it is.

But again eyeballing it shows an even stronger relationship with the 10 year treasury. What do mortgage rates do now that the Fed has lowered the Fed funds rate by 25 basis points? Very little. In fact the Mortgage Bankers’ Association is predicting a rise in mortgage rates by year end. Why? Because the 10 year treasury is expected to rise because of the continued inflation. Again, in order to preserve purchasing power, buyers of long term bonds demand higher yields when there is expected inflation. So even if the tariffs cause only a one time jump in the price level, bond holders will still want higher yields.

Mortgage rates typically are between one to two basis points higher than the 10 year Treasury which is used as a benchmark rate because their durations are almost the same as that of mortgages. This is because many mortgages mature well before their term (houses are sold and/or mortgages are refinanced). Duration (often called the Macauley duration) is defined as the length of time it takes to recoup an investment or as we tell our students it is the weighted average time until cash flows are received where the weights are the present values of the cash flows. Thus duration is less than maturity since there are interim cash flows – Treasury bonds pay a semi-annual coupon making duration shorter than term to maturity. The only bond whose duration is equal to its maturity is a zero coupon bond.

Here is the formula for Macauley’s duration:

You are fired! And this time I mean it!

As per usual, in these days of continuing resolutions we are again faced with the possibility of a government “shutdown”. Mind you, the government doesn’t really shutdown but “nonessential” government services are suspended. I have always said that if they are nonessential then why are they needed in the first place? The answer is that they extend the government’s reach and power but otherwise are just a subsidy from some of us to the rest of us. It also keeps the lobbyists employed and gives government employees something to do. In the past when these shutdowns have occurred, the government always shuts down stuff intended to inconvenience or anger people like closing museums and access to national parks.

This time it is a bit different since Trump is in the White House. He and his aides have passed another continuing resolution in the House (with no democrat votes) and it is stalled in the Senate where it takes 60 votes to overcome a filibuster. The republicans only have 53 senators and Rand Paul (no surprise) has pledged to vote against it since it does not reduce the level of government spending. The democrat leadership, Chuck Schumer in the Senate and Hakeem Jeffries in the House (both New York democrats) have threaten to shut down the government. Trump says go ahead because that is exactly what I want you to do.

Why? Because it offers him the opportunity to further pare federal government employment. To date Trump has terminated 300,000 federal workers. But with a workforce of over 3.8 million, he wants to cut even more. In the past, there have always been negotiations between the two parties. No more. The republicans have totally cut out the democrats saying that their demands are laughable and would increase Federal spending by $1 trillion over the next decade. The democrats want to make permanent the Biden expansion of health care which the republicans reject. Mind you, like all continuing resolutions, this is only a stop gap measure that expires in seven months.

The republicans say that funding will continue for “essential” services such as the military, social security, medicare, Medicaid, the Veterans Health administration, law enforcement and air traffic controllers. I wonder if the tariff bean counters are considered “essential”? In the past federal workers were furloughed and returned to work with back pay – a paid vacation! This time not so much. The president has instructed his budget office director Russ Vought to tell the federal agencies to draw up plans to permanently reduce their workforce by firing those workers in programs that have no current funding, have no outside funding source, and that are “not consistent with the President’s priorities.” These workers would not be rehired – at least not by this administration.

Schumer says that if this occurs the democrats would sue (naturally) to protect their constituents (the vast majority of federal employees are democrats) and Jeffries has called Vought a “malignant political hack.” So much for niceties. Schumer is probably still smarting from all the criticism from the left when he voted for the previous CR. Some say he is vulnerable to a challenge from AOC and is trying to hold together his base. Regardless neither he nor Jeffries appear to back down meaning that other more “moderate” democrats – if they really exist – will have to vote to keep the government running and their constituents from being fired.

Life sure is more interesting with this president.

“Justice” comes for Comey, soybeans and more crony capitalism

To no one’s surprise Trump’s “Justice” Department filed charges against former FBI director James Comey that he lied to the congress when he asserted that he did not authorize leaking information regarding the FBI’s investigations into then-President Donald Trump or former Secretary of State Hillary Clinton. The indictment came only two days after Trump castigated his attorney general Pam (Blondie) Bondi to prosecute Comey along with Adam Schiff and Letitia James. Comey’s indictment was first largely because the statute of limitations expired in only a few days. Comey, of course, claims he is innocent. Now the question is whether Trump’s insurance attorney, the new DA for the Eastern District of Virginia, Lindsey Halligan can persuade a jury in democrat dominated eastern Virginia and a Biden appointed judge, Michael Nachmanoff, to convict Comey.

Also to no one’s surprise the president went on his social media machine and trumpeted “JUSTICE IN AMERICA! One of the worst human beings this Country has ever been exposed to is James Comey.” It also only took a millisecond to hear the thread worn phase “No one is above the law.” And right on cue came Pam (Blondie) Bondi saying “No one is above the law. Today’s indictment reflects this Department of Justice’s commitment to holding those who abuse positions of power accountable for misleading the American people. We will follow the facts in this case.” 

For his part Comey said “My heart is broken for the Department of Justice, but I have great confidence in the federal judicial system. I’m innocent, so let’s have a trial and keep the faith” He then added “My family and I have known for years that there are costs to standing up to Donald Trump, but we couldn’t imagine ourselves living any other way. We will not live on our knees, and you shouldn’t either.” Wow! We will not live on our knees – a phase to be remembered regardless of who is in the White House. Lest we forget that Comey is no Trump fan having stupidly arranged “8647” in sea shells on a beach. What does “8647” mean, well Homeland Security Secretary Kristi (of the false eyelashes and hair extensions) Noem claimed that it called for the assassination of Trump. “86” means “to kill” while Trump is the 47^th president of the United States. Comey claimed that he saw the shells as he was strolling down the beach. Sure.

Trump has already attacked the judge who was selected randomly to hear the case.  “Whether you like Corrupt James Comey or not, and I can’t imagine too many people liking him, HE LIED! It is not a complex lie, it’s a very simple, but IMPORTANT one. There is no way he can explain his way out of it. He is a Dirty Cop, and always has been, but he was just assigned a Crooked Joe Biden-appointed Judge, so he’s off to a very good start.” Stay tuned.

Argentine vs Iowa soybeans

What’s with Trump bailing out Argentina to the tune of $20 billion? Treasury Secretary Bessant had hinted of the possibility that the aid would be given to help out Trump’s buddy Javier Milei who is in trouble at the polls. Farm state politicians especially Iowa’s Chuck Grassley (great name for someone from a farm state) are having a cow. Grassley posted on X “Why would USA help bail out Argentina while they take American soybean producers’ biggest market??? We should use leverage at every turn to help hurting farm economy Family farmers should be top of mind in negotiations by representatives of USA.” Grassley is upset because after the bail out the Argentines eliminated their excise tax on soybeans and sold 20 boatload of beans to the Chinese. Wow (again). Grassley said that American soybean growers cut off from the Chinese markets are “upset”. Do tell. Trump told the farmers to cool it because he was going to throw them a bone – their own bailout using money from tariffs. Ok but what are we going to do with the 3 billion bushels of soybeans sitting at the farms? Make a lot of tofu, soy milk and hummus I guess. Maybe Chuck should tell Trump to cool it on those Chinese tariffs. Oh and Trump put a 50% tariff on Brazil, guess where they are selling their soybeans? Sorry Chuck but it looks like China doesn’t need to buy US soybeans – and won’t until Trump’s tariffs go away. Bully versus bully.

The Pending Sale of Tik Tok

In an overt display of crony capitalism, the president has declared Tik Tok ready for sale to American investors with a laughable value of only $14 billion. Mind you, Tik Tok has 170 million US subscribers with the president having 15 million subscribers on his own personal account. Tik Tok’s valuation is estimated to be between $30 to $40 billion without its famous algorithm. But the $14 billion, conjured out of thin air by the president, means that his buddies who are going to be the buyers of American Tik Tok get cut a deal. Those buyers include Michael Dell, Rupert Murdoch (I guess they patched over their differences), Oracle and private-equity firm Silver Lake which is closely associated with the president. Some people have called this another presidential shakedown but let’s just call it crony capitalism.

This has not gone unnoticed by Trump’s adversaries, Susan Rice (remember her?) called the deal “a model of corruption” accusing Trump of negotiating a deal that “lines the pockets of his cronies.” I think Ms Rice forgot that the forced sale of Tik Tok came during the Biden Administration and that Trump’s sin was that he’s got to hand out the goodies rather than Joe Biden. The democrats were leading the way wanting to either ban or restrict Tik Tok. The republicans were worrying about its use for espionage purposes while the democrats were concerned about its content using its famous algorithm. Virginia’s Mark Warner whined “The Chinese Communist Party can twist that algorithm to make it the news that they see reflective of their views.” So while it would be unseemly for the US to actually ban Tik Tok (like the Chinese would have done were it not their own) it was decided to force its sale to US interests (rather to the interests of the current administration). Don’t be shocked if somehow Trump gets a cut of the deal. I do know for certain that the government will exact a multibillion dollar “finders” fee. When Tik Tok is sold, Oracle will control its algorithm and manage user data. The sale prohibits “any cooperation with respect to the operation of a content recommendation algorithm” between ByteDance (Tik Tok’s parent) and the American ownership group. Hey, we can trust Larry Ellison – can’t we?

A (college) football lament

It’s a football Saturday and it seems a bit weird for me to wish for the good old days because I am usually glad that those days are behind us. But college football is the exception. With degrees from the University of Georgia and Ohio State, I only care about two football conferences, the SEC and the Big “10” and now I am even starting to care less about both. When the SEC started to expand and added South Carolina and Arkansas in 1992, I thought Clemson and Florida State made more sense. But rumor had it that then FSU coach Bobby Bowden felt that his chances at winning more championships lay in the ACC. He was right.

Then the conference added Missouri and Texas A&M in 2012. I guess Missouri borders Tennessee and Texas borders Louisiana so maybe that was okay so long as traditional rivalries could be preserved. Although not a traditional rivalry, having Georgia and Tennessee in the same division was actually a factor in my joining the Tennessee faculty. I was mulling over a couple of offers when Tennessee called asking if I would come for an interview. At first, I said no. But the chair of the search committee was an old friend and was persistent. I half jokingly told him that the only reason I would come interview was because they played the Bulldogs every year in football and twice yearly in basketball. They made me a offer I couldn’t refuse and I joined the Tennessee faculty. I was on the athletics board for a while as well. The Volunteers became my third favorite team (I only have three favorites) and since 1987 I have never missed a UT-UGA football game including this year’s thriller.

Since I retired, aside from going back to teach a course last spring, I only go to campus every other year for the Georgia game. Now even that has ended with the SEC announcement of annual rivalries given the addition of Oklahoma and Texas and ending the divisions. Georgia and Tennessee will no longer meet every year. Georgia’s annual games are Florida, Auburn and South Carolina while Tennessee’s are Alabama, Kentucky and Vanderbilt. Those make sense for Tennessee while Florida and Auburn must be on Georgia’s schedule. If Georgia Tech were still in the conference (it left my sophomore year at Georgia) then it would have been Georgia’s third school. That means no more trips to Neyland Stadium until they meet there in 2029. Who knows if I will be physically able to attend? Who knows if I will even be alive? 

As to the Big “10” it only proves that institutions of higher learning cannot count. There are now 18 schools in the Big “10”. I was ok with the addition of Penn State and Nebraska but Maryland and Rutgers? Rutgers? You have got to be kidding me. Rutgers? Then the conference went west and decimated the Pac 12 by grabbing Southern California, UCLA, Washington and Oregon. Somehow Oregon as the Big “10” champ just doesn’t seem right. How about that storied Washington – Northwestern rivalry? Now I only care about seeing Ohio State play and none of the rest. And I was even uneasy about Ohio State spending all that NIL money to pay for a team that won last year’s national championship. It is apparent that the Big “10” and the SEC want to dominate college football and have most of the spoils to themselves. I understand avarice but it just pushes me further away from the two conferences.

Right now the best part of college football is the Ohio State band doing script Ohio, the Tennessee band forming the “T” for the football team to run through and the “It’s Saturday in Athens” intro to the Georgia games. I know the world has changed and my friends say I should get with the program. But I can’t. I don’t think that I can force myself to watch pro football, but I never dreamed that I would ever tire of college football. Now I only care about Georgia, Ohio State and possibly Tennessee – sometimes. Even then my loyalties are tested by the money grab by the conferences, schools and the athletes, some of whom are on their fourth school. Don’t misunderstand, I do not fault either the conferences, the schools or the players for seeking to maximize their value. But as a fan, I feel just a wee bit turned off by it all.

When my mother was living, I would take her to the Fort Valley State football games. My mother received Fort Valley’s first four year degree and is considered the mother of the university. She had great seats and box lunches. We actually sat near Denzel Washington when his son played for Morehouse College. One of life’s embarrassing moments was when the announcer said that a famous father was at the game and please treat him like any other fan – no autographs please. Then my other half looked around and Washington winked at her and she yelled out “IT’S DENZEL!!!”. Those games were fun and the skill level was only a bit higher than that of big city high schools. I have been invited to the Mercer-VMI game by a Mercer season ticket holder. Maybe I will go and also go back to see Fort Valley. When they played my Dad’s alma mater Savannah State, those games were fun and I miss the playful repartee between my parents that would last from one season to the next.

Today’s Fed and Friedman’s monetary rule

Monetarists, that branch of monetary policy inhabited by conservative economists, have long stated that monetary policy is oversold. That was the thinking of the sainted Milton Friedman and my PhD advisor the great Karl Brunner. Both emphasized the destabilizing effects of discretionary monetary policy and the benefit of a monetary policy rule. I remember Friedman once saying that we did not know enough to conduct discretionary policy – the manipulation of monetary policy tools – without destabilizing the economy. The economy writ large is just too complicated for monetary policy to work effectively without disrupting its workings. 

Freidman argued that the central bank did have a role to play but it should not be one of casting uncertainty in the economy. Rather it should be one of certainty. Friedman argued that if monetary policy were too expansive, it would invariably lead to inflation (inflation is everywhere a monetary phenomenon). If the growth in money were too little, it would lead to deflation and possible recession. Fiddling around with monetary policy tools would be disruptive to the economy with households and businesses being unsettled by the uncertainty of what the Fed is going to do next. Friedman thought that discretionary policy was often the source of economic ails causing the Fed to have to fix problems that it had created itself.

The solution is a monetary rule. Friedman suggested that the Fed should allow the money supply to grow at a rate equal to the real long term rate of growth in the economy and leave it alone. No cutting the Fed funds rate. No raising the Fed funds rate. Just let the market determine the rate and leave it alone. Of course, the economy is dynamic and if there is an economic slowdown, the Fed would increase the money supply to maintain the targeted rate of change in real long term GDP. Conversely, it the economy were starting to grow faster than the target, the Fed might decrease the rate of growth in money to get the economy back on course.

It should come as no surprise that not a single central banker in the world would adhere to Friedman’s monetary rule. They are too self-important to do that. Fiddling with stuff keeps them busy and shows their worth to all to see. Yet that same fiddling is the source of criticisms regardless of what they do. Right now President Trump wants the Fed to lower rates. His representative at the Board, Stephen Miran has called for lowering the Fed funds rate by 50 basis points at each of its next two meetings. Why he just doesn’t opt for 100 basis points now and get it over with is beyond me. The president (and Miran) seem to think that lowering the Fed funds rate will overcome the woeful jobs numbers and lower the government’s borrowing costs (and other pipe dreams). But lowering will do no such things as I have detailed before. It will likely only increase inflation because the mere process of lowering rates entails creating more money. Lower rates will not increase employment and will not lower the cost of borrowing since only a small proportion of the debt is in short term Treasurys and longer term Treasury rates will likely rise due to inflationary expectations.

The other members of the Open Market Committee have varying opinions as to what to do next. One is open to lowering the Fed funds rate by 25 basis points at the next two meetings. At least three others have expressed caution about changing the rates period while two others have been quoted as indicating that they might favor a rise in rates. The Fed chairman, Jerome Powell, who increasingly is looking forward to May 2026 when his term ends, is the standard bearer for caution. Powell reminds us of the Fed’s dual mandate of price stability and full employment is now at odds. Rising inflation means to increase rates while high unemployment means to lower rates. But now with both increasing, what should the Fed do? Well it lowered the rate by 25 basis points, a move intended to give Trump a little satisfaction but do little to change the economic narrative. 

This is a classic middle of the road approach and is typical of Powell’s tenure as chairman. With all the diverse opinions about what the Fed’s course of action should be, Powell seeks compromise. In my experience, the chairman talks with each member of the Board of Governors individually prior to the meeting of the Open Market Committee. The intention is to reach a decision in which they all agree – a classic compromise. Then the chairman seeks that the reserve presidents are on board with the compromise resulting in a unanimous vote at the meeting. On those rare occasions where a compromise cannot be reached, dissents are recorded. I can guarantee that Miran will never agree to a compromise unless okayed by the president. Miran wants to go back to his cushy job on the Council of Economic Advisors where his only duty is to produce statistical confirmation of whatever Trump wants – something any graduate student could do.

I have said it before and I will say it again, the Fed should concentrate on inflation and eschew unemployment. Inflation does more long term harm to the economy while employment numbers constantly change in a dynamic economy. Putting the economy on a stable path of economic growth will virtually guarantee low unemployment numbers. 

Of course, as per usual, my solutions will never be adopted because there would be no need for all those international conferences, all the press conferences, meetings at ritzy resorts and feelings of self-importance. But a plus would be that we would be rid of those contentious congressional hearings and the constant badgering of the central bank.

Now my not so last word on free trade

I am certain by now, everyone knows my position on free trade. I am largely against tariffs and only under very specific circumstances favor them on specific items. Some agree and some disagree. That is fine with me. I believe – like a true free trader – that even if one country practices free trade by lowering its trade barriers that it will be better off (see Singapore). I know all the arguments to the contrary and shake my head in disbelief at those who argue that we will be better off if we make ourselves poorer by erecting trade barriers. I have detailed extensively on this blog the arguments for and against and have offered suggestions that will forever go unheeded. On occasions I will revisit these arguments but for now, I recommend Don Boudreaux’s website Café Hayek where almost daily he writes about free trade engaging in spirited dialogue with his readers. 

Here is an example of Don’s posting and is a recommended read.

Enough With Protectionists’ Rampaging Presumptions

Was the president’s warning on Tylenol irresponsible?

Was the president’s warning on Tylenol irresponsible? Maybe and maybe not. If it was irresponsible, it was in the way the message was conveyed. The president said that the Food and Drug Administration (FDA) will begin notifying physicians immediately that it is “strongly recommending that women limit Tylenol (acetaminophen) use during pregnancy unless medically necessary” and that the FDA would update the label for acetaminophen with enhanced information about the possible link. All well and good. That statement sounds reasonable to me.

What was irresponsible was what else that the president said at the news conference. “If you’re pregnant, don’t take Tylenol, and don’t give it to the baby after the baby is born. There are certain groups of people that don’t take vaccines and don’t take any pills that have no autism. They pump so much stuff into those beautiful little babies, it’s a disgrace.” The president then told women to “tough it out” rather than take Tylenol for fever or pain during pregnancy. The president said that “taking Tylenol is not good. All right, I’ll say it. It’s not good.” “Don’t take Tylenol. Don’t take it. Fight like hell not to take it.”

Pardon me if I think that those statements are a bit overboard. It gives the impression that researchers are certain that there is a causal link between taking acetaminophen during pregnancy and autism in newborn babies. There is no such definitive link found in the research. In fact, one large scale study in Sweden of two million children ruled out the relationship. However, others have not and have been cautious in their conclusions.

The mainstream medical groups have expressed alarm at the president’s statements saying that that acetaminophen is a safe medication for pregnant women to take and that no studies have found a direct cause-and-effect between use in pregnancy and autism. For instance, The American College of Obstetricians and Gynecologists stated that asserting a relationship between acetaminophen in pregnancy to autism is “highly concerning,” “irresponsible” and “not backed by the full body of scientific evidence.”

The president of the American College of Obstetricians and Gynecologists said “Acetaminophen is one of the few options available to pregnant patients to treat pain and fever, which can be harmful to pregnant people (pregnant people?) when left untreated. Maternal fever, headaches as an early sign of preeclampsia, and pain are all managed with the therapeutic use of acetaminophen, making acetaminophen essential to the people (people?) who need it. The conditions people use acetaminophen to treat during pregnancy are far more dangerous than any theoretical risks and can create severe morbidity and mortality for the pregnant person (pregnant person?) and the fetus (baby?).” (Note: It is a bit disconcerting that the president of the American College of Obstetricians and Gynecologists apparently doesn’t know what a woman is.)

One group of researchers published an analysis of 46 previous studies on Tylenol, autism and attention-deficit/hyperactivity disorder. Many found no link between the drug and the conditions, while a few suggested Tylenol might occasionally exacerbate other potential causes of autism such as genetics. The authors called for more judicious use of the drug. Yet even the research that found a link with prenatal Tylenol say that it would occur in on a fraction of the cases.

It is interesting that autism experts at the Centers for Disease Control and Prevention were neither consulted for the president’s announcement nor asked to review a draft of the findings and recommendations.

A White House spokesman said “President Trump pledged to address America’s alarming rising rate of autism, and to do so with Gold Standard Science.” Yet there is considerable controversy as to whether there an “alarming rising rate of autism” although it seems so. In the 1970s, autism was considered rare, perhaps 1 in 5,000 to 10,000 children. In 2000, an estimated one in 150 children aged 8 had the disorder. By 2010, that number had risen to one in 68 and by 2022 it was one in 31. However, the diagnosis of autism has changed. Once those with autism were “missed, misdiagnosed or labeled differently” say doctors. One expert says that over time, as awareness has grown, diagnostic definitions have expanded and screening has became more routine. So it’s not a surprise to see more autism diagnoses. The biggest misconception is that rising numbers mean autism itself is suddenly becoming more common. That’s scary to some people, but there does not appear to be new autism ‘epidemic.” 

So who to believe? The president, the medical establishment, your doctor or the researchers? To recap. The president says with certainty Tylenol causes autism in children. The medical establishment says it isn’t so. The researchers seem to say that if there is a link, it is a statistically small one. In that light, it depends on the severity of the mother’s (er, pregnant person’s) symptoms and the dosage of Tylenol given. I haven’t a clue as to what the doctors will do. I know some that write a prescription for every ailment and others that don’t.

So the jury’s out but expect to see the number of lawsuits rising dramatically as the tort attorneys are licking their chops. One would have expected to see the shares of Renvue (the maker of Tylenol that was spun off from Johnson and Johnson) to tank. And yes, there was a sell off but only by 7 percent and 60 percent of that decline was made up the following day. So apparently, the market must think that the risk of a massive settlement is low and that Renvue will only have to put warning labels on Tylenol. I presume this is true for all the generics as well.

Lastly, did you see the stories of pregnant women “guzzling” Tylenol in defiance of Trump? The Daily Mail reports several women have gone viral on social media posting videos of themselves taking Tylenol in protest. ‘Here’s me, a PREGNANT woman, taking TYLENOL because I believe in science and not someone who has no medical background,’ one woman wrote over a video of herself taking the pill and dancing. (Note that the woman refers to herself as a “woman”). Another woman said “About to take Tylenol for my headache while pregnant, because I don’t take my medical advice from a man who doesn’t have a degree in science, healthcare, or medicine, and who had a parasitic brain infection. Yeah, I’ll trust my doctors, who have a degree.” One advisor to RFK jr was exasperated saying “Democrats are now chugging bottles of Tylenol on TikTok.” Even women outside the US are protesting the president. One Brit who is 36 weeks pregnant said “I do not believe for one second that Tylenol causes autism, these claims have been debunked before and Trump has given no scientific evidence to back up his claims. I am from the UK and our NHS guidance still stands that Tylenol/ Paracetamol is the safest form of pain medication during pregnancy.” Yikes! With their track record, would you trust the NHS?

TDS knows no boundaries or borders. 

What goes around

One of the most basic practical insights of liberalism is that any power you give government with the goal of empowering your side will–usually within 8 years!–be captured and used by the other side against you. So you shouldn’t create any source of power you wouldn’t want your ideological enemies to possess.

One of the most basic moves of American politics is to ignore this insight, even though it has so far never been wrong. – Jason Brennan

The “vengeance is mine” tour continues. The president fired Erik Siebert who a few months ago he appointed as US District Attorney for the Eastern District of Virginia. Why? Because Siebert would not bring charges against two of the president’s enemies, Letitia James and James Comey. “After a five month investigation and interviews with more than a dozen witnesses,” Siebert said that they lacked sufficient evidence to charge New York attorney general Letitia James with mortgage fraud. Trump was clearly unhappy with his attorney general, Pam (Blondie) Bondi. He chastised her in a tweet that he probably hit “send” and then went “oops”s because he quickly deleted the post. Here is the missive:

“Pam: I have reviewed over 30 statements and posts saying that, essentially, “same old story as last time, all talk, no action. Nothing is being done. What about Comey, Adam “Shifty” Schiff, Leticia??? They’re all guilty as hell, but nothing is going to be done. Then we almost put in a Democrat supported U.S. Attorney, in Virginia, with a really bad Republican past. A Woke RINO, who was never going to do his job. That’s why two of the worst Dem Senators PUSHED him so hard. He even lied to the media and said he quit, and that we had no case. No, I fired him, and there is a GREAT CASE, and many lawyers, and legal pundits, say so. Lindsey Halligan is a really good lawyer, and likes you, a lot. We can’t delay any longer, it’s killing our reputation and credibility. They impeached me twice, and indicted me (5 times!), OVER NOTHING. JUSTICE MUST BE SERVED, NOW!!! President DJT”

Siebert had been endorsed for the position by Virginia’s two democrat senators and republican governor. Note that he left out the governor, Glenn Youngkin in this diatribe. The president knows perfectly well that any old prosecutor can find trumped up charges to indict anyone having been indicted so many times himself. What are the odds that the next district attorney for Eastern Virginia will find evidence sufficient to indict James and Comey? By the way, that person is one of the president’s former defense lawyers, Lindsey Halligan.

He did issue a mea culpa to Bondi saying “Pam Bondi is doing a GREAT job as Attorney General of the United States. She is very careful, very smart, loves our Country, but needs a tough prosecutor in the Eastern District of Virginia, like my recommendation, Lindsey Halligan, to get things moving. What we don’t need is a Democrat Endorsed ‘Republican.” Ms Halligan who is an insurance attorney has never been a prosecutor. But hey, you got to start sometime.

Bondi now has her marching orders. It’s a bit strange that the president would tweet all this out rather than just giving her a call. But the message is clear as he said when asked if he was upset with her. He said “No. I just want people to act. They have to act. But now we want to act fast. You know, they were ruthless and vicious. I was impeached twice. I was indicted five times. It turned out to be a fake deal. And we have to act fast one way or the other. One way or the other. They’re guilty. They’re not guilty. We have to act fast. If they’re not guilty, that’s fine. If they are guilty or if they should be judged, they should be charged. And we have to do it now.”

Some out there with short memories are saying that Trump is shattering the image of an independent Justice Department. I guess they have forgotten when then Attorney General Eric Holder said that he was President Obama’s wing man. Does anyone think that Merrick Garland’s Justice Department was independent of Joe Biden? It was during Garland’s tenure that I started putting quote marks before and after “Justice.” No Bondi is following her boss’ marching orders and has continued the politicization of the department instituted by her predecessors.

So returning to the quote by Brennen, what was done to Trump by his political enemies is now going to be done to them. If the charges against him were baseless then there will be baseless charges brought against them. There is no turning of the other cheek. In the vicious world of petty politics its an eye for an eye. Vengeance is mine.

President Trump and the H1-B visa

President Trump as is his wont has just unilaterally raised the annual fee for an H1B visa from $215 to $100,000. The president has claimed that the system was depriving American workers of jobs and was being abused and that abuse constituted a threat to national security (what doesn’t?). There is evidence that the visa program has been abused by some. “Since the creation of the program, the abuses of the program have been many, included vastly underpaying workers, laying off U.S. workers and replacing them with much lower-paid H-1B workers, forcing U.S. workers to train their H-1B replacements as a condition of receiving severance and unemployment insurance, and cheating the H-1B lottery to acquire additional visas.” See

https://www.epi.org/publication/new-evidence-widespread-wage-theft-in-the-h-1b-program/

The president was right in wanting to address the abuses in the system. The question is whether the increase in the annual fee is the right way to do it. One thing is certain, a fee of that size will mean that only the highest compensated foreign workers will now be brought into the country unless some type of fealty is paid to the president. Fealty – there’s that word again where it seems that kneeling before the president, kissing his ring and offering him gifts will get you an exemption. Apple anyone? Overlooked in most of the reporting is the following caveat:

“The restriction imposed pursuant to subsections (a) and (b) of this section shall not apply to any individual alien, all aliens working for a company, or all aliens working in an industry, if the Secretary of Homeland Security determines, in the Secretary’s discretion, that the hiring of such aliens to be employed as H-1B specialty occupation workers is in the national interest and does not pose a threat to the security or welfare of the United States.”

So it is possible to opt out of paying the $100,000 annual fee at the Secretary of Homeland Security’s discretion. Oh boy. I am sure that Kristi Noem is beyond reproach and cannot be bribed. Right? 

The president has made it clear that all those who currently hold an H1B visa are exempt from the new fee. That is obviously a relief to companies like Amazon that employs 14,667 such workers. Even with its deep pockets that would mean an additional $1.5 billion a year in visa costs. But going forward, unless exempted at the Secretary’s discretion, even Amazon would face increased costs to bring in new workers.

Seventy percent of the H1B visa holders are from India and has been a boon to that country and its citizens. About 12 percent of the visa holders are from China. Most are involved in skilled high tech jobs – jobs that Americans have deficient skills in. Needless to say there is much concern in India where the program has help raise countless families out of poverty.

There were 85,000 visas granted annually with another 20,000 for people with advanced degrees from American universities. Question to the president: Do Indians constitute a threat to national security?

The university programs will likely disappear given the $100,000 annual cost. This will surely impact university research and the hiring of professors and recruitment of graduate students. Most of the visa holders are in the STEM areas (science, technology, engineering and mathematics) where the majority of graduate degrees go to foreigners. The president says that now firms will have to hire Americans but of course if there are few Americans to hire, then that presents an interesting problem that will have significant impact on the economy. One thing is for certain, those skilled Americans should see a significant increase in their pay.

Trump supporters Vivek Ramaswamy and Elon Musk have defended the program while Steve Bannon has condemned it. Of course, Bannon does not operate a business dependent upon skilled workers. The largest industry for these visa holders are computer programing, professional, scientific and technical services and manufacturing. It is no surprise that tech giants are high uses of the program with Google (4,186), Meta (5,123), Microsoft (5,189) and Apple (4,202). The Indian multinational technology company, Tata Consultancy Services employs 5,586. I wonder what gifts will they have for the president.

Naturally, the new fee will face a court challenge. As one attorney put it “The only authority Congress has ever given the executive branch here is to charge fees to recover the cost of processing the application.”

The new fee is expected to cause the distribution of skilled workers to become more global as other countries that pay lower salaries will be able to attract those workers who would have otherwise gone to the US. One observer said that the biggest threat to Europe was the loss of talented innovators to the US but now Trump will have reversed that flow. The UK has responded by moving toward abolishing all visa fees for high level foreign talent and to “attract and retain high-skilled talent, particularly in science, research and technology.”

China has instituted a new K visa to attract skilled professionals in Science, Technology, Engineering, and Mathematics (STEM) from around the world. China will issue these visas without their being an employer sponsor. It is thought that many Indian professionals will now go to China rather than to the US.

Remember Harold Black’s First Law? “Any law worth being circumvented will be” means that one of the impact of the increased fee will be moving business operations off shore. Indeed there is an academic paper that shows that when H1-B immigration is restricted that US multinational shift work to other countries. Rutgers University economist Jennifer Hunt says “This misguided measure could shut down the H-1B program entirely and if that happens, it’ll have a very detrimental effect on the economy as a whole.” Hunt said H-1B workers don’t substitute for U.S. workers, but complement them instead, helping them do their jobs and making them more productive.

Another observer said that the impact on the medical profession would be “devastating” in that 30 percent of medical residents are foreigners. Also 8,200 of the visas were in general medicine and surgical hospitals. Again India is the largest single source of international medical graduates and make up about 22% of all international doctors. International doctors make up a quarter of US physicians.

As a side note, it is interesting that JD Vance’s wife is the daughter of Indian immigrants. Her father is a professor of Aerospace Engineering at San Diego State University. Her mother is a professor of Molecular Biology at UC San Diego, where she also serves as provost. It is not clear what their citizenship status is and whether they were on H1-B visas. Melania Trump came to the US on an H1-B visa. The cost was $1,500 and some doubt if she would have emigrated had the cost been $100,000. But an H1-B visa for a model? Is this what Trump means about the abuse of the system? But are the Drs. Chilukuri (Usha Vance’s parents) and Melania Trump a threat our national security?

President Trump, Nobel Laureate?

I thought the president wanted the Nobel Peace prize? He probably didn’t help his case by renaming the Department of Defense the Department of War. Also it appears that he is trying to get Maduro mad enough to attack US vessels off of Venezuela. Maduro has said that the US is trying to provoke a war with his country. Blowing up Venezuelan speedboats probably don’t sit well with the Nobel committee either.

Trump tweeted “This morning, on my Orders, U.S. Military Forces conducted a SECOND Kinetic Strike against positively identified, extraordinarily violent drug trafficking cartels and narcoterrorists. These extremely violent drug tra#icking cartels POSE A THREAT to U.S. National Security, Foreign Policy, and vital U.S. Interests. BE WARNED — IF YOU ARE TRANSPORTING DRUGS THAT CAN KILL AMERICANS, WE ARE HUNTING YOU!”

The president declared a national emergency in the drug fight. He imposed tariffs on China, Mexico and Canada because of fentanyl. He designated the Venezuelan gang Tren de Aragua, as a foreign terrorist group and labeled them a national security threat. He also signed a directive authorizing the use of military force drug cartels.

It is obvious that Trump doesn’t like Maduro – I thought he was supposed to be pals with dictators? He has put a $50 million bounty on Maduro and called him “one of the world’s largest drug traffickers.” The administration is trying to send Venezuelans who have fled their country back into the arms of Maduro. If Maduro is the drug king, then he must be a middle man. Cocaine is produced in Columbia, Peru and Bolivia, not Venezuela. Severy-five percent of the cocaine shipments come through the Pacific which Venezuela does not border with the rest coming from the Caribbean. Details. Details.

I wonder why the president did not try to get the Congress to endorse his war on the cartels and Venezuela when they had approved the use of force against Al Qaeda? This is just another case of the president going ahead and exerting his power as the chief executive without the advise and consent of the Congress. Trump also issued Maduro a direct threat claiming that Maduro sent criminals and the mentally ill to the United States. “We want Venezuela to immediately accept all prisoners and people from mental institutions — including those from the worst asylums in the world — that the Venezuelan ‘leadership’ has forced into the United States of America. Thousands of people have been been badly hurt and even killed by these ‘Monsters.’ GET THEM THE HELL OUT OF OUR COUNTRY, RIGHT NOW, OR THE PRICE YOU PAY WILL BE INCALCULABLE! There he goes again with the ransom note motif.

Well so much for the Nobel Peace prize. Remember when he said that he would end the Ukraine war in 24 hours?  In an interview with Time he said that he really wasn’t serious. “Well, I said that figuratively, and I said that as an exaggeration, because to make a point, and you know, it gets, of course, by the fake news. Obviously, people know that when I said that, it was said in jest, but it was also said that it will be ended.” Well if he wasn’t serious why did he say it 53 times? For example at a campaign rally he said “Before I even arrive at the Oval Office, shortly after we all together win the presidency, we will have the horrible war between Russia and Ukraine settled. It will be settled. The war is going to be settled. I’ll get them both – I know Zelensky, I know Putin, it’ll be done within 24 hours, you watch. They all say, ‘That’s such a boast.’ It will be done very quickly.”

Despite Trump threatening Putin with “severe consequences” if he does not agree to end the war in Ukraine, the war is still going and Putin has escalated his aggression toward Ukraine and in the region since his meeting with Trump in Alaska. Three days in a row Russians have violated NATO airspace. German, Italian, Finish and Swedish jets – but not US – jets were scrambled. I am no expert on these matters but Putin obviously has called Trump’s bluff. The questions are what is Trump doing about it and why is he treating Putin with kid gloves? DDE says I am ignorant of matters pertaining to Trump and Russia so I defer to his expertise.

Finally, most of us thought that it was mere presidential bluster when Trump insinuated that he would take back the Panama Canal by force and when his Defense (er War) secretary seemed to talk about invading Greenland. But recall that Denmark actually strengthened its defenses (such as they are) in Greenland. I guess they are putting more musk oxen on the front line. Now the president is sending ominous messages to the Taliban about getting back Bagram Air Force base. Again he went on his tweeter machine and tweeted “If Afghanistan doesn’t give Bagram Airbase back to those that built it, the United States of America, BAD THINGS ARE GOING TO HAPPEN!!!” He added “if they don’t do it, you’re going to find out what I’m going to do.”

So far he has issued idle threats to Putin. Now there are threats to Maduro and to the Taliban. Are they idle as well? So tell me this, how does he expect to get the Nobel Peace prize if he keeps threatening to wage “incalculable consequences” on all those he doesn’t like?