Health
Medical Groupthink Makes People Sicker, Analysts Argue
From Heartland Daily News
Medicine has a huge “blind spot” that has led to an explosion of childhood obesity, diabetes, autism, peanut allergies, and autoimmune diseases in the United States, says Martin Makary, M.D., author of the bestselling book Blind Spots.
“We have the sickest population in the history of the world … right here in the United States, despite spending double what other wealthy countries spend on health care,” said Makary during a September 20 presentation at the Cato Institute, titled “Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health.” Also on the panel were Cato scholars Jeffrey A. Singer, M.D., and David A. Hyman, M.D.
Makary became well-known during the COVID-19 lockdowns as one of a small group of prominent physicians who publicly questioned the government’s response to the virus. Makary is a professor of surgery at Johns Hopkins Medicine, where he researches the underlying causes of disease and has written numerous scientific articles and two other bestselling books.
Chronic-Disease Epidemics
Makary said the rates of some diseases have reached epidemic proportions. Half of all children in the United States are obese or overweight, with 20 percent now diabetic or prediabetic. The rate of children being diagnosed with autism is up 14 percent every year for the last 23 years, one in five U.S. women have been diagnosed with an autoimmune disease, and gastrointestinal cancers have doubled in the last two decades.
“We have got to ask the big questions,” said Makary said in his remarks. “We have developed blind spots not because we’re bad people but because the system has a groupthink, a herd mentality.”
Health care has become assembly-line medicine, with health professionals pressured to focus more on productivity and billing output than on improving overall health, says Makary.
“We need to look at gut health, the microbiome, our poisoned food supply; maybe we need to look at environmental exposures that cause cancer, not just the chemo to treat it; maybe treat diabetes with cooking classes instead of throwing meds at people; maybe we need to treat high blood pressure by talking about sleep quality,” said Makary.
Sticky Theories
Hyman says cognitive dissonance can cause blind spots, highlighting an example of a surgeon initially resistant to trying less-invasive antibiotics before surgically removing an appendix, as recounted in Makary’s book.
“Easy problems are already fixed, so how do we fix this hard problem?” said Hyman at the presentation, pointing out unjustified medical opinions can persist for decades.
Such opinions include the ideas that “opioids are not addictive, or antibiotics won’t hurt you, or hormone therapy causes breast cancer even though the data never supported it, the dogma of the food pyramid,” said Makary.
“We love to hold on to old ideas not because they’re better or more logical or [more] scientifically supported than new information, but just because we heard it first,” said Makary. “And it gets comfortable. It will nest in the brain, and subconsciously we will defend it.”
Peanut Allergy Mixup
Singer asked Makary about the peanut allergy dogma the American Academy of Pediatrics pushed in 2000, recommending children not eat peanuts before the age of three. It turned out to be wrong, said Singer.
“We have peanut allergies in the U.S. at epidemic proportions, [yet] they don’t have them in Africa and parts of Europe and Asia,” said Makary. The United States “got it perfectly backward,” said Makary. “Peanut abstinence results in a sensitization at the immune-system level.”
An early introduction of peanuts reduces the incidence of people identified with peanut allergies at a rate of 86 percent, Makary told the audience.
Makary said he confronted those who argued for peanut abstinence, noting there were no studies to back up the recommendation. They replied that they felt compelled to weigh in because the public wanted something done, said Makary.
‘Demonized’ HRT
The recommendation against hormone replacement therapy (HRT) for older women because of breast cancer risk is another example of misguided groupthink, Makary told the audience.
“It is probably the biggest screw-up in modern medicine,” said Makary.
“HRT replaces estrogen when the body stops producing it,” said Makary. “Women who start it within 10 years after the onset of menopause live on average three and a half years longer, have healthier blood vessels, they will have 50 to 60 percent less cognitive decline, the risk of Alzheimer’s goes down by 35 percent. Women feel better and live longer. The rate of heart attacks goes down by half. And their bones are stronger. There is probably no medication that has a greater impact on health outcomes in populations than hormone therapy.”
A demonization campaign against HRT began 22 years ago when a single scientist at the National Institutes of Health held a press conference saying HRT was linked to breast cancer, Makary told the audience.
“The incredible back story is that no data were released at that announcement,” said Makary. “And today there is no statistically significant increase [of breast cancer].”
Political Challenges
Among the broad range of topics in the 75-minute discussion, the panelists considered how medical groupthink affects government policy.
“Agencies make decisions in the shadows of how [they think] Congress will react,” said Hyman. “Congress can make your life really miserable if you’re a federal regulator. They can cut your budget, call you in, and yell at you because you haven’t taken aggressive steps to protect the American public.”
Makary said doctors must avoid making recommendations based on “gut feelings.”
“We spend a staggering amount of money on delivering health care, and very little money on what actually works,” said Hyman.
AnneMarie Schieber ([email protected]) is the managing editor of Health Care News.
Health
CDC’s Autism Reversal: Inside the Collapse of a 25‑Year Public Health Narrative
James Lyons-Weiler, PhD, for Popular Rationalism
On November 19, 2025, quietly and without ceremony, the U.S. Centers for Disease Control and Prevention updated its website and rewrote one of the most politically charged sentences in modern American medicine. A sentence that had been treated as gospel—“Vaccines Do Not Cause Autism”—was suddenly recast as something far more fragile. In the CDC’s own words, the slogan “is not an evidence‑based statement” because available studies “have not ruled out the possibility that infant vaccines contribute to the development of autism.”
Yet the headline still sits atop the page. Not because the CDC stands behind it, but because a U.S. Senator demanded it stay. CDC states plainly that the headline remains only due to an agreement with the chair of the Senate HELP Committee. A mandated political slogan now presides over a scientific reversal.
The body of the page reads like a confession. It acknowledges that key infant vaccines—including HepB, DTaP, Hib, PCV13, IPV, rotavirus, and influenza—have never been studied for autism outcomes. It admits that earlier studies used to justify the categorical claim were incapable of ruling out causation. It concedes that mechanistic and associative findings were ignored by health authorities. And it promises, for the first time, an HHS‑led effort to conduct “gold‑standard science” to evaluate whether early‑life vaccination can contribute to autism.
This moment did not arise in a vacuum. It is the final surface rupture of a 25‑year fault line running beneath CDC’s public messaging—a story of suppressed signals, discarded testimony, unpublished findings, internal dissent, FOIA‑released emails, whistleblower documents, and a lawsuit that forced CDC to walk back its own claim once before
The Early Warnings CDC Never Told the Public
In July 1999, the American Academy of Pediatrics and the U.S. Public Health Service issued a joint public statement urging the reduction or elimination of thimerosal in childhood vaccines. The stated reason was “an abundance of caution.” But in internal memos from FDA scientists revealed something more urgent: infants receiving vaccines according to the CDC schedule were exposed to mercury levels far exceeding EPA safety limits.
Behind the scenes, the alarm was palpable; in public, the message was reassurance.
One year later, in June 2000, CDC convened a closed‑door meeting at the Simpsonwood Retreat Center near Atlanta. The meeting brought together CDC officials, vaccine company representatives, and outside consultants to review early analyses from the Vaccine Safety Datalink (VSD). The transcript—obtained via Safeminds by FOIA—shows CDC epidemiologist Thomas Verstraeten presenting a dose‑dependent association between thimerosal exposure and neurodevelopmental disorders, with findings concerning enough that multiple attendees warned of “what this will mean” if made public.
In the months that followed, internal CDC emails—eventually released through persistent FOIA litigation—show Verstraeten repeating the same refrain: “It just won’t go away.” The association persisted despite multiple rounds of analytical restructuring.
But as the signal persisted, the public narrative hardened: vaccines are safe, and no link to autism exists.
2001: The IOM Frames the Outcome Before Reviewing the Evidence
In January 2001, the Institute of Medicine’s Immunization Safety Review Committee met to determine how it would approach vaccines‑and‑autism questions. The committee made two decisions that shaped every subsequent conclusion.
First, the IOM reported they would not review experimental animal data or mechanistic toxicology because the committee did not have “a free weekend” to do so.
Second, as revealed in the same transcript, the chair, Harvard pediatrician Marie McCormick, stated that CDC “wants us to declare” vaccines safe and that the committee was “not ever going to come down that autism is a true side effect.”
Study director Kathleen Stratton added that the predetermined outcome—“inadequate to accept or reject”—was the result “Walt wants,” referring to Walter Orenstein, then head of CDC’s National Immunization Program.
These statements were later entered into the Congressional Record.
The outcome—before any evidence was evaluated—was set.
The Verstraeten Disappearance
In 2002, before CDC’s thimerosal paper was published in Pediatrics, lead author Thomas Verstraeten left CDC to work for GlaxoSmithKline (GSK), a company producing thimerosal‑containing vaccines. The conflict was not disclosed in the paper.
2004: How Testimony and Mechanisms Were Removed
The IOM’s 2004 report on vaccines and autism excluded parental accounts of regression, mechanistic submissions detailing neuroimmune pathways, autism evidence involving vaccines other than the measles, mumps and rubella (MMR) vaccine and the growing literature on thimerosal‑related neurotoxicity.
Although the committee acknowledged that vaccines might trigger autism in a small biologically susceptible subset, it declared such a possibility insufficient to justify further research. It was the line CDC and AAP repeated for years.
At the same moment, statistician C.P. Farrington issued a methodological warning about the self‑controlled case series (SCCS) method—central to CDC’s MMR studies—explaining that SCCS can mask population‑level effects. This concern fell on deaf ears.
2007–2008: The Poling Precedent
In the Hannah Poling case, the federal government formally conceded via NVICP summaries that vaccines triggered a mitochondrial encephalopathy that manifested as autism.
This was the government’s first—and still one of its only—acknowledgments that vaccine‑induced autism can occur in a susceptible individual.
2014: The Whistleblower
CDC senior scientist Dr. William Thompson released a statement admitting that statistically significant findings related to MMR timing, race, and autism were omitted from a 2004 CDC study. His statement is preserved in the webarchive.
In 2015, Congressman Bill Posey read Thompson’s documents into the Congressional Record. In that same year, the groundbreaking documentary VAXXED reviewed the manipulation and destruction of data by CDC employees to bury the strong association of on-time MMR vaccination
2017: HHS Admits It Never Performed Required Vaccine Safety Reviews
Under pressure from a sweeping FOIA request, HHS disclosed that it had not performed the periodic vaccine safety reviews required under the 1986 National Childhood Vaccine Injury.
2017–2023: Aluminum, Microglia, and the Rewriting of Neuroimmunology
A growing scientific literature revealed significant concerns that aluminum in vaccines may play a increasing role: aluminum brain retention, macrophagic myofasciitis, dose‑dependent aluminum toxicity and toxicokinetic and clearance concerns.
Simultaneously, in a landmark review, the HHS Inspector General confirmed extraordinary underreporting in the Vaccine Adverse Events Reporting System.
These findings undermined the assumption that injected aluminum rapidly clears the body.
2018–2024: Maternal Immune Activation (MIA), IL‑6, and Autism Biology
Research on maternal immune activation reshaped autism biology indicates a direct role IL‑6–driven microglial priming, microglial dysregulation and pruning deficits, and immune‑activation neurodevelopmental changes.
These pathways perfectly match parental reports of regression following immune triggers, including fever and vaccination.
The 2018 IPAK Systematic Review
A systematic analysis by the Institute for Pure and Applied Knowledge (IPAK) examined 48 studies used by CDC and AAP to support the “vaccines do not cause autism” claim. The full report found that the key studies sent to President Trump in his first term, the average study quality score was –6.61 (on a scale where +12 represents a robust design); only one study scored above zero; most did not measure autism prevalence; none compared vaccinated vs. never‑vaccinated children; nearly all were retrospective correlation studies, unable to test causation. many were underpowered, overadjusted, or structurally incapable of detecting subgroups; and that studies showing associations were absent from CDC’s curated lists.
The Lawsuit That Forced CDC’s First Retraction
In the late 2010s, the Informed Consent Action Network (ICAN), led by Del Bigtree, filed a Data Quality Act challenge demanding CDC produce evidence that all vaccines on the infant schedule do not cause autism. CDC could not produce such evidence. The slogan was removed.
Under court order, the slogan was reinstated—until CDC’s 2025 update disavowed it again although the header remains as a purely political concession.
CDC’s 2025 Admission: The Narrative Has Collapsed
CDC now acknowledges that many infant vaccines have never been studied for autism. The website correctly reports that observational studies used to date cannot rule out causation. It also reports that mechanistic pathways were not evaluated. Most importantly, it reports that evidence showing association was ignored or suppressed.
The header, “Vaccines Do Not Cause Autism”, sticks out like a sore thumb, a\ reminder that it exists only because a U.S. Senator demanded it stay.
This is more than scientific refinement; it is a reckoning.
What Gold‑Standard Science Would Actually Require
A real determination about vaccines and autism would require a mix of retrospective prospective cohorts with fully unvaccinated controls. Genetic susceptibility profiling would be tracked with vaccine exposure and machine learning prediction modeling used to study exactly which risk factors could have predicted who would have developed autism. The prediction models optimized retrospectively would be to test prospectively and autism rates compared in kids removed from the vaccine schedule via clinical risk prediction.
Parents as Witnesses
For decades, parents have described regression events following vaccination—loss of language, eye contact, sociability, and developmental progress. CDC now admits these observations have never been properly studied.
These accounts are no longer anomalies—they align with known pathways of neuroimmune disruption.
Conclusion
CDC’s 2025 update is not a scientific conclusion. It is a confession of malfeasance by an organization whose entire paradigm on vaccine risk has not risk management, but rather, risk perception manipulation.
The question was never settled in spite of sufficient evidence that the correct studies are warranted.
“Gold‑standard science” is coming—twenty‑five years late. CDC is not changing its language because new evidence emerged. It is changing its language because the evidence it once relied upon was never sufficient to justify the claim.
Popular Rationalism is a reader-supported publication.
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Health
BREAKING: CDC quietly rewrites its vaccine–autism guidance
In a stunning shift, the CDC now says its own “vaccines don’t cause autism” claim was not evidence-based.
For the first time in a generation, the US Centres for Disease Control and Prevention (CDC) has rewritten its official position on whether vaccines can cause autism.
This is a change that could reshape one of the most politically charged and emotionally fraught debates in modern medicine.
In a website update published on 19 November 2025, the agency now states that the long-standing claim “vaccines do not cause autism” is “not an evidence-based claim” because scientific studies “have not ruled out the possibility that infant vaccines cause autism.”
The page also acknowledges that “studies supporting a link have been ignored by health authorities.”
It’s difficult to overstate the significance of these statements. For nearly two decades, they would have been unthinkable for a federal public health agency.
The timing is equally striking.
The change arrives at a moment when the political and scientific landscape around vaccine safety is undergoing a marked shift inside the Trump–Kennedy administration.
For months, critics have accused Health Secretary Robert F. Kennedy Jr and several of the administration’s appointees of holding unconventional views on vaccine safety.
The CDC’s revised language now places the agency closer to Kennedy’s long-standing argument that federal agencies had ignored crucial evidence.
The CDC explains the shift by pointing to the Data Quality Act, which requires federal communications to accurately reflect the evidence.
Because studies have not excluded the possibility that infant vaccines could contribute to autism, the agency concedes that its long-standing categorical statement was not scientifically justified.
The update states plainly that scientific uncertainty remains, particularly for vaccines administered in the first year of life.
Scientific uncertainty finally acknowledged
The information on the website draws a sharp distinction between the infant vaccine schedule — which includes DTaP, HepB, Hib, IPV, PCV and others — and the measles–mumps–rubella (MMR) vaccine.
For the MMR, the CDC continues to cite observational evidence showing “no association … with autism spectrum disorders,” describing the conclusion as supported by “high strength of evidence.”
But the agency also acknowledges that these studies had “serious methodological limitations” and were all retrospective epidemiological analyses, the type that cannot establish cause and effect or identify subgroups who may be more vulnerable.
The acknowledgement of limitations is unusually candid for a federal agency discussing vaccines and autism.
For the infant vaccine schedule, the shift is even more dramatic.
The CDC cites a series of authoritative reviews — including the 1991 and 2012 Institute of Medicine’s assessments, and the Agency for Healthcare Research and Quality’s review in 2021 — all concluding that the evidence was “inadequate to accept or reject” a causal relationship between early-life vaccines and autism.
In other words, the fundamental scientific question remains unresolved.
Political dynamite
The political context makes this change even more consequential. Senator Bill Cassidy, who chairs the Senate Health Committee, has been one of the most vocal critics of Kennedy’s vaccine views.
Cassidy has repeatedly insisted that the science on autism and vaccination was settled years ago. Now the CDC states that the claim “vaccines do not cause autism” does not meet evidence standards.
Remarkably, the CDC states that the headline phrase remains on the page only “due to an agreement with the chair of the U.S. Senate Health, Education, Labor, and Pensions Committee.”
The implication — that the wording is a political compromise rather than a scientific one — will undoubtedly invite scrutiny on Capitol Hill.
Attorney Aaron Siri, who has spent years litigating against federal agencies for greater transparency around vaccine safety, said the update marks a long overdue shift in honesty from the CDC.
“It is an excellent step in the right direction for CDC to start telling the truth to the public about its past misdeeds and misrepresentations,” said Siri.
“Telling the truth and apologizing for its prior misrepresentations is the only way the CDC will ever rebuild trust with the public,” he added.
How the Wakefield saga shaped debate
For years, any attempt to revisit the vaccine–autism question was coloured by the fallout from the “Wakefield saga.”
The retracted 1998 Lancet paper became a shorthand for misinformation, and it allowed public health agencies to dismiss all subsequent concerns as if they were simply a continuation of that controversy.
The episode became a kind of cultural firewall.
Invoking Wakefield was an easy way to shut down inquiry, even when parents were describing patterns that had nothing to do with the MMR vaccine and everything to do with the expanding infant schedule.
The CDC’s admission that the evidence for early-life vaccines is “inadequate to accept or reject” a causal link — and that some studies “supporting a link have been ignored” — breaks the long-standing habit of waving away legitimate questions by pointing back to a decades-old scandal.
A broad recalibration
The CDC’s shift also aligns with a broader recalibration underway across federal health agencies in the US.
The Trump administration has ordered new NIH reviews of vaccine safety science, reinstated the Task Force on Safer Childhood Vaccines, and rejuvenated the CDC’s Advisory Committee on Immunization Practices (ACIP).
The pattern is unmistakable: agencies that once treated certain questions as “settled science” are now reopening them and its impact is likely to reverberate across the globe.
The CDC now admits the science has not ruled out potential links for vaccines given in infancy.
The website also notes that “about one in two surveyed parents of children with autism” believe vaccination played a role, often pointing to shots given in the first months of life or around the one-year mark.
Until now, those parents were often told their concerns were baseless. The agency’s new wording fundamentally alters that dynamic.
Changing the conversation
In the US at least, public health agencies will no longer be able to respond to parental concerns with blanket denials.
Moreover, researchers studying plausible mechanisms — such as aluminium adjuvants, neuroinflammation, mitochondrial vulnerabilities and immune activation — will find themselves in an environment that formally recognises these questions as scientifically legitimate.
Informed consent practices may need to be revisited as the existence of uncertainty is formally acknowledged.
And lawmakers who insisted that the science was settled will now face uncomfortable questions about why federal agencies relied on definitive messaging that did not meet evidence standards.
To be clear — the CDC’s update does NOT assert that vaccines cause autism. What it does say — with clarity the agency has avoided for years — is that the available evidence has not established that they do not, at least for the vaccines given in early infancy.
That distinction may seem subtle, but it represents a profound shift in how the conversation is framed and will undoubtedly impact the personal experiences of families raising autistic children.
For the first time that I can remember, the question of vaccines and autism is no longer treated as taboo. It has been recast — at the CDC’s own hand — as a research question that demands proper investigation.
The shift may prove to be one of the most consequential public health developments of the decade, and it suggests that something significant is moving behind the scenes in the federal agencies that once seemed immovable.
OLD CDC WEBSITE:
UPDATED CDC WEBSITE:
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