If one looks at the past century of back-and-forth changes between Republican and Democratic presidents, one sees a continuous and resounding commitment to scientifically based public health practice. This commitment has reaped incredible achievements, including the control of infectious diseases, a steep decline in deaths from heart disease and stroke, safer and healthier foods, healthier mothers and babies, family planning, fluoridation of drinking water, recognition of tobacco as a health hazard and the elimination of more than 20 vaccine-preventable diseases. But with the reelection of President Trump, and the prospect of Robert F. Kennedy Jr. assuming a major role in public
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