CDC Dep. Director On Measles Going Kazoo: It’s Just ‘The Cost Of Doing Business’

from the worse-and-worse dept

Before you read this post, I want you to try to recall the stupidest thing you’ve ever heard someone say. Go ahead and hold that memory in the back of your head.

Perhaps by now you’re tiring of all of these posts on America’s measles problem that we’ve endured for over a year now. This is so passe, you might be thinking. So, you know, 1990s. And you would have been right before 2025 and the installation of a gravel-mouthed anti-vaxxer as the Secretary of HHS. Sadly, 2025 saw more cases of measles in America than at anytime in the previous several decades and a current outbreak in South Carolina, one which is already spreading to far-flung states across the country, has been left unaddressed.

In my last post on this topic, I complained that those in charge of these agencies are “barely talking about this.” Now that one of those leaders has talked about it publicly, however, I think I understand why they were kept in silence previously.

After a year of ongoing measles outbreaks that have sickened more than 2,400 people, the United States is poised to lose its status as a measles-free country. However, the newly appointed principal deputy director at the Centers for Disease Control and Prevention, Ralph Abraham, said he was unbothered by the prospect at a briefing for journalists this week.

“It’s just the cost of doing business with our borders being somewhat porous for global and international travel,” Abraham said. “We have these communities that choose to be unvaccinated. That’s their personal freedom.”

Okay, where to begin? Let’s just start by pointing out that Abraham is a long-time anti-vaxxer. He has advocated for alternative treatments to all kinds of diseases for which we have actual medicine. He has also advocated for natural immunity over vaccines on the regular. Now that this clown is nominally running the CDC, while America is facing its worst measles crises in over thirty years, the response is as flippant as, “Shit happens because, you know, immigrants.”

“When you hear somebody like Abraham say ‘the cost of doing business,’ how can you be more callous,” said pediatrician and vaccine specialist Paul Offit, in an online discussion hosted by the health blog Inside Medicine on Jan. 20. “Three people died of measles last year in this country,” Offit added. “We eliminated this virus in the year 2000 — eliminated it. Eliminated circulation of the most contagious human infection. That was something to be proud of.”

That would be idiotic even if Abraham were right. But he’s not right. As CBS points out in its post, we’ve always had occasional infections from foreign visitors and sources in America, but nothing like these outbreaks. Only 10% of infections over the last year or so came from outside the country. The rest were domestic spread. And while border policy surely has ebbed and flowed over the past 30 years, there wasn’t some drastic change made in the last year that would explain any of this away.

Now, in all fairness, Abraham has also added that getting two doses of the MMR vaccine is the most effective way to prevent a measles infection. I’m sure saying it was painful for him, but he did it. Still, because the stupidest possible people are running our country right now, the CDC is also studying the genomic makeup of measles infections from different parts of the country. But Timothy, you’re surely saying, that sounds like good science and something they’d use to help fight the disease.

Nope, wrong. They’re desperately trying to show that the outbreaks are from disparate strains to argue that it hasn’t been 12 months of continuous spread of a single strain to claim that we shouldn’t lose our elimination status.

If the CDC’s genomic analyses show that last year’s outbreaks resulted from separate introductions from abroad, political appointees will probably credit Kennedy for saving the country’s status, said Demetre Daskalakis, a former director of the CDC’s national immunization center, who resigned in protest of Kennedy’s actions in August.

And if studies suggest the outbreaks are linked, Daskalakis predicted, the administration will cast doubt on the findings and downplay the reversal of the country’s status: “They’ll say, who cares.”

Indeed, at the briefing, Abraham told a reporter from Stat that a reversal in the nation’s status would not be significant: “Losing elimination status does not mean that the measles would be widespread.”

The phrase “criminal negligence” leaps to mind. That appears to be the work product of our public health officials at the moment. Neglect and attempts to coverup for that neglect on technicalities.

Welcome back, measles. I guess you’ll be staying with us a while.

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Comments on “CDC Dep. Director On Measles Going Kazoo: It’s Just ‘The Cost Of Doing Business’”

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51 Comments
That One Guy (profile) says:

Re: Another generation that will have to learn the hard way...

As horrifying as it is to consider I suspect that you’re right, it’s ‘easy’ to be pro-plague when thanks to successful vaccination efforts you’ve never had a close friend and/or family member maimed or killed by a vaccine-preventable disease, allowing you to downplay said diseases as ‘not that big of a deal’ both to yourself and others.

This comment has been deemed insightful by the community.
Raphael (profile) says:

Re: Re:

Yes, and it’s not just vaccines. A whole lot of things that have been around for a while and either solved or at least seriously mitigated problems which used to be really serious trouble in the old times are suffering from the same problem with people’s historical unawareness.

To use just one example, in places with reasonably sound and reasonably well-enforced environmental regulations, the local environment often seems to be in a somewhat better shape now than it was half a century ago. Looks like some anti-environmentalists love to argue that this somehow proves that environmental regulations are pointless.

On a larger scale, perhaps that kind of attitude is a problem for the entire phenomenon of modernity.

The stupid mindset in question is basically that of an employee who thinks, “Right now I’m getting along really well with my boss. That clearly means that I can stop putting any effort into my work now!”

This comment has been deemed insightful by the community.
Ninja (profile) says:

Re: Re: Re:

The stupid mindset in question is basically that of an employee who thinks, “Right now I’m getting along really well with my boss. That clearly means that I can stop putting any effort into my work now!”

You see, a more apt comparison would be “Right now I’m getting along really well with my boss. That clearly means that labor and anti-slavery laws are not needed and I can negotiate terms directly with my employer because they are so nice and benevolent!”

That One Guy (profile) says:

The 'personal freedom' to try to get other people killed with your stupidity

“It’s just the cost of doing business with our borders being somewhat porous for global and international travel,” Abraham said. “We have these communities that choose to be unvaccinated. That’s their personal freedom.

We also have people that exercise their personal freedom to get absolutely hammered at the local bar, but we still have laws in place against drunk driving because their ‘personal freedom’ of driving while drunk would put the lives of everyone else on the road at risk.

David says:

Remember Covid before vaccinations?

Then there was a death toll that was “cost of doing business”. New Zealand, an island nation, decided to isolate itself hard and was successful in keeping Covid locked out of their country, partly by going into hard lockdowns and contact tracing whenever their hard quarantine was passed by.

The difference to now? Vaccines. New Zealand opened up again once they could vaccinate.

There are measle vaccines. The measles death toll is not the cost of doing business, it is the cost of being stupid. And for a CDC director in particular, it is the cost of not doing the business you are being paid for. It is the cost of being incompetent and of outright sabotage of the duties you are being paid for.

It is like a worker calling embezzlement they are doing the “cost of business” for their employer.

Anonymous Coward says:

Re:

You’re also hinting at the usual solution to such a problem.

As CBS points out in its post, we’ve always had occasional infections from foreign visitors and sources in America, but nothing like these outbreaks.

The reason foreign visitors don’t generally cause outbreaks is because sane countries tend to require their visitors to be vaccinated against whatever diseases they’d otherwise be likely to bring. Travel medicine is a specialty, and vaccines were required long before COVID (since 1945; long-range international travel was quite rare before then).

Anonymous Coward says:

Re:

Did RFK jr hit a switch as soon as he took office? I would have expected it to take time for any of his policies to have an effect.

It’s about the particular switches you throw. When you pull out of fighting a defensive action, the results will be seen pretty instantly. With the rate at which disease outbreaks double in size, doing nothing exposes just how much of an effect what was being done had. The choice NOT to take measures for containment and mitigation has virtually immediately measurable results.

Rocky (profile) says:

Re:

Did RFK jr hit a switch as soon as he took office?

Yes, he turned the dumb-switch on and fired a lot of competent people and hired anti-vaxxers and faith healers which meant he effectively paralyzed the CDC and its responses to outbreaks. Do you understand the concept that doing nothing about a measles outbreak means it’s going to get worse?

I would have expected it to take time for any of his policies to have an effect.

What you expect and what reality is seems to be two totally different things. Have you totally missed how RFK jr has consistently been ripping apart the CDC through his actions and has rewritten its guidelines to partly reflect beliefs that was common 150-200 years ago? He has also said it’s better if everyone catches measles so they get natural immunity and that vitamins can protect you.

Ninja (profile) says:

I wonder how long till countries start erecting sanitary barriers against US travelers.

The loss of trust has already resulted in a massive divest from the dollar going on which made gold prices soar past the stratosphere, dollar value against many currencies falling to 20-month lows and still falling. I personally love it because the US has been wielding the dollar hegemony as a weapon for decades now.

US dominant position and presence in the world was never viable in the long term but I honestly thought the decline would be much like an airplane landing and they would remain relevant. The orange emperor turned it into a catastrophic nose dive.

Raphael (profile) says:

Re:

The loss of trust has already resulted in a massive divest from the dollar going on which made gold prices soar past the stratosphere, dollar value against many currencies falling to 20-month lows and still falling. I personally love it because the US has been wielding the dollar hegemony as a weapon for decades now.

US dominant position and presence in the world was never viable in the long term but I honestly thought the decline would be much like an airplane landing and they would remain relevant. The orange emperor turned it into a catastrophic nose dive.

Thing is, I have seen people who are mainly concerned with ending US hegemony defend and support Trump and his crowd on those grounds. IMNSFHO that’s both generally repulsive, and very short-term thinking, because 1) the countries that stand the most to gain from a much weaker US position are pretty much all even worse than the USA, and 2) the USA basically stopped being a global hegemon at some time in the mid-to-late 2000s anyway, even though many people never got the memo.

This comment has been deemed insightful by the community.
Anonymous Coward says:

Re:

“I wonder how long till countries start erecting sanitary barriers against US travelers.”

Funny that you’d mention that. I just spent 4 hours in a (scheduled) 1 hour meeting because that very topic came up, and discussion was…lengthy. Summarizing: (1) an increasing number of people don’t want to visit the US because they don’t relish the idea of being kidnapped and shipped to a horrible prison in some random country (2) an increasing number of people don’t want to host events with US attendees because they view us as infectious and crazy.

And the thing is: they’re not wrong.

Anonymous Coward says:

Re:

I wonder how long till countries start erecting sanitary barriers against US travelers.

Two weeks ago, the Pan American Health Organization released a statement relating to this:

[A PAHO commission] has invited the United States and Mexico to meet virtually on April 13th, 2026, to review their measles elimination status. […]
[The commission’s] mandate is to monitor and verify the elimination of measles, rubella, and [Congenital Rubella Syndrome] in PAHO Member States, and to assess the reestablishment of endemic transmission […].
Following its review, the RVC will submit its recommendations to the PAHO Director. The Director will then formally determine the country’s classification and communicate the decision to the national authorities.

So, potentially by July, I’d say. Of course, some countries make their own decisions and could do it sooner. (I’m not counting the countries that require certain vaccinations for all incoming travelers.)

Anonymous Coward says:

It’s okay, we still live in a country with a lot of firearms and people with nothing left to lose once a loved one passes from MAGA stupidity.

Regardless of how many Alex Prettis they arrest, I suspect after the mid-terms when those fail to solve the problem of malicious incompetence we can clap our hands and sing a bout the stochastic ex-MAGA solutions (and the inevitable tit for tat partisan fallout from the fog of war) to problematic and incompetent wealthy anti-vaxxers.

Anonymous Coward says:

Appears to have been some sort of volatility-related fluke on my lower-odds contracts. I’m actually only up 9% in a few weeks from betting on measles.

Kalshi right now is settled on 2000-6000 measles cases reported in 2026, with odds in that range edging up slightly and consistently.

Still under a coin flip for 8000+ cases.

DV Henkel-Wallace (profile) says:

This is so liberating andrefreshing

What a life simplification. Since “ the cost of doing business” is “personal freedom” I’m not going to renew my drivers license nor teach my kids to drive. We can just drive when and because we want to.

And we don’t have to go to the range for target shooting any more. Our back yard will serve just fine. After all we aren’t terrorist demonstrators or protesters, so guns are fine: it’s our personal freedom! I think I’ll go get a machine gun!

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