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Commentary: RFK Jr.'s views on autism show that anti-science myths are rampant at the agency he leads
A number of otherwise skeptical senators took at face value the pledge by Robert F. Kennedy Jr. at Senate hearings in January to “follow the science” on issues related to the causes of disease in the U.S., helping him receive confirmation as secretary of Health and Human Services.
As he demonstrated last week at his very first news conference as the government’s top healthcare official, he was blowing smoke.
The topic was what he described as an “alarming … epidemic” of autism, supposedly documented by a new report by the Autism and Developmental Disabilities Monitoring Network of the Centers for Disease Control and Prevention.
It’s not that the amount of autism in the population has changed, it’s that more people are getting the tools necessary to get a diagnosis.
— Autism Self Advocacy Network
His advice was to ignore what decades of scientific research have established as contributors to the reported increase in autism prevalence. These include genetic factors; the ever-broadening definition of autism itself, now known as autism spectrum disorder, or ASD; and vastly improved screening programs nationwide.
The inescapable conclusion is that Kennedy’s HHS is in the grip of a pseudoscience revolution in which misinformation and disinformation are ascendant. The cost to scientific research generally and to households caring for those with chronic conditions such as ASD is incalculable.
Kennedy’s words left much of the autism community aghast. At both his news conference and an accompanying HHS press release, “Kennedy repeated false claims that autism was a ‘preventable’ ‘epidemic’” and that the CDC report’s findings “could not be explained by improved access to screening,” stated the Autistic Self Advocacy Network. ASAN accused Kennedy of having “cherry-picked” data and having misinterpreted basic science.
“It’s not that the amount of autism in the population has changed,” the network’s statement said — “it’s that more people are getting the tools necessary to get a diagnosis.”
Observes Holden Thorp, the editor of Science, who disclosed last year that he was diagnosed with autism at the age of 53 (he’s now 60), “almost everything in the CDC report talked about better identification and better diagnosis being the source of the increase. … The main recommendation is to get people more access to services.”
I asked HHS to provide me with Kennedy’s response to these and other criticisms, but didn’t receive a response.
Kennedy’s words were so averse to understanding the truth about autism that they deserve to be set forth here in some detail. To a great extent, they’re refuted by the CDC report itself, which Kennedy referred to repeatedly at his news conference. The CDC estimated the rate of autism in the general population at about one in 31 children born in 2014. That’s a higher rate than was found even two years earlier.
But it doesn’t amount to an “epidemic” that is “running rampant,” as Kennedy said. He said “most cases now are severe,” which is untrue. In fact, the vast majority of new cases involve children without the intellectual disabilities often associated with stereotypical autistic behavior, such as sensitivities to touch and an absence of verbal skills. The prevalence of more severe cases has actually declined in recent years, according to a 2023 study from Rutgers.
Kennedy took special aim at what he called “the ideology that … the relentless autism prevalence increases are simply artifacts of better diagnoses, better recognition or changing diagnostic criteria.” He said “this epidemic denial has become a feature in the mainstream media and it’s based on an industry canard” perpetrated by “people who don’t want us to look at environmental exposures.”
Well, no. The contributions made by updated diagnostic standards and improved screening to changes in prevalence rates aren’t concoctions of the media, but findings from professional research — including the CDC report.
Kennedy scoffed at research that has established a genetic component to autism, even though such findings have been conclusive; he implied that spending on such studies is a waste of money because the research is a “dead end.”
He painted a dire picture of the lives of autistic people. “Autism destroys families,” he said. “These are kids who will never pay taxes, never hold a job, they’ll never play baseball, they’ll never write a poem, they’ll never go out on a date, many of them will never use a toilet unassisted.”
Kennedy’s fans played the “what he really meant to say” game on social media, arguing that he was referring only to the most seriously impaired. But that distinction wasn’t clearly made either in the HHS press release or at Kennedy’s news conference. Just to be plain, given Kennedy’s effort to shroud autistic people in stigma, many pay taxes. Many hold jobs. Many play baseball. Many write poetry, go on dates, don’t need help to use a toilet.
Put it all together, and Kennedy’s performance raises urgent questions about whether he understands autism at all or is just using it as a stalking horse to promote his assertion that “environmental toxins” are the root of chronic diseases.
Kennedy’s erroneous ideas about autism aren’t new. He has long favored the long-debunked claim that autism is related to childhood vaccinations. He didn’t specifically mention vaccines during his appearance, but more than once he claimed that “someone is putting environmental toxins into … our medicines.”
What medicines have most children received by their second birthday, when autism is commonly diagnosed? Vaccines, that’s what.
Kennedy seemed impervious to the findings of scientific researchers. That was the conclusion of Peter Hotez, a leading vaccine expert whose daughter Rachel is autistic. In 2017, the National Institutes of Health asked Hotez to meet with Kennedy to move him off the hobbyhorse of a vaccine-autism link. “I couldn’t engage him,” Hotez told me. “But he was so deeply dug in about vaccines that he wasn’t interested in listening.”
What’s behind the rise in autism rates? Contrary to RFK Jr.’s claim, it’s mostly among milder cases without intellectual disability (blue line), not among severely disabled autistic people (green line), where rates are actually dropping.
(American Academic of Pediatrics)
His encounter with Kennedy was what prompted Hotez to write his 2018 book “Vaccines Did Not Cause Rachel’s Autism.”
The truth is that researchers have made great strides in unearthing the causes and characteristics of autism. They’ve identified some genetic anomalies that lead to a predisposition to the spectrum.
Scientists at the University of North Carolina, Stanford and UC Davis have found unusual prenatal growth patterns in the brain that appear to correlate with ASD diagnoses in early childhood, though it’s unclear what triggers that growth. Some have found evidence of environmental factors, chiefly experienced by women in pregnancy, though some question whether any such factors can be primary determinants of ASD.
Kennedy would have been well-advised to spend more time reading his own agency’s report before citing it at his news conference. That’s because it refuted much of what he claimed.
To begin with, the report took a more nuanced view of autism than the horrific picture he painted of autism sufferers. Throughout, it refers to ASD — “autism spectrum disorder” — rather than painting it as “autism” with a single broad brush, as he did. The report explicitly states that the change in reported prevalence of ASD “can reflect differing practices in ASD evaluation and identification,” as well as differences in the availability of services for autistic people and their families.
Among other factors, the report states that ASD diagnoses among Black, Hispanic and other ethnic groups have increased because those “previously underserved groups” have received “increased access to … identification services” in recent years. That has certainly contributed to the apparent increase in ASD prevalence overall.
Until about 10 years ago, the report notes, the highest prevalence of ASD was found among white children and those from wealthier neighborhoods, plainly those with both the incentive to track their children’s intellectual development and the best resources to obtain services. (Access to health insurance covering autism diagnosis and treatment also correlated with prevalence rates, the CDC found.) Black, Hispanic and other ethnic groups have been catching up.
The report further documented how reported rates of ASD are related to differing approaches to screening and diagnostic services among states and local communities. The reported ASD rate was 9.7 per 1,000 children in Texas, but 53.1 in California.
Why would it be so high in California? The report notes that California has trained local pediatricians to screen and refer children for assessment as early as possible — at an average of 36 months, compared with the Texas average of nearly 70 months — which “could result in higher identification of ASD, especially at early ages.” California, moreover, has established “regional centers throughout the state that provide evaluations and service coordination for persons with disabilities and their families.”
What is Kennedy’s endgame here? He portrays himself as a seeker of scientific truth, but throughout his news conference he denigrated scientists for purportedly ignoring what he said were clear signals of an autism epidemic rendering “thousands of profoundly disabled children somehow invisible.” In doing so, he overlooked decades of fruitful research efforts aimed at uncovering the causes and nature of autism.
He left the impression that research into genetic or prenatal causes will get short shrift in grants from the National Institutes of Health, which comes under his jurisdiction. Instead, he’ll favor studies aimed at identifying specific environmental toxins, although their significance is unclear. He has already indicated that he plans to revive research tying vaccines to autism, though that connection consistently has been disproved.
Perhaps most disturbing is that Kennedy showed almost no awareness of the diversity of ASD — and the contribution that it has made to humanity. “Some neurodivergent people are meticulously observant and are able to connect seemingly disparate concepts — assets in the world of science,” Thorp wrote in connection with his own diagnosis. “Neurodiversity scholars and advocates have stressed that autistic thinkers are responsible for many innovations and advances across human history.”
There’s reason to fear that Kennedy’s quest for a cause or even a cure for autism will shoulder aside other research more important for those with ASD. As Emily Hotez, Rachel Hotez’s older sister and a leading autism researcher at UCLA, noted in an article she co-wrote after the CDC report’s release, the effort to identify autism’s cause has overlooked “something far more urgent: improving the lives of autistic people and their families, here and now.”
Business
Walmart’s EV chargers are coming to California with discounts for members
Walmart is rapidly expanding its network of electric vehicle chargers designed for customers to use while they shop.
The network could help fill gaps in EV infrastructure in states with greater need for chargers. Walmart, which has more than 5,000 locations in the U.S. and hundreds in California, says more than 90% of Americans live within 10 miles of one of its stores.
The chargers also offer an incentive for customers to choose Walmart — Walmart Plus members will receive a 10% discount off an average price of $0.46 per kilowatt-hour of energy at the company’s chargers.
Walmart chargers are already available at more than 75 locations in 17 states, with Texas boasting the most charging stations, followed by Florida and Arizona.
Matthew Nelson, Walmart’s director of energy policy, said last week on LinkedIn that the network will soon reach 29 states, including California.
“We are delivering on the promise of affordable, reliable and convenient charging,” Nelson said in his post.
According to Walmart’s website, six charging stations are coming to California soon, though the company did not offer a specific timeline.
The chargers will be installed at stores in Antelope, Brea, Fresno, Stockton, Suisun City and Vallejo.
Most charging sites in California will include eight to 16 fast-charging stalls, said Walmart spokesperson Kelsey Bohl.
The company first announced plans in April 2023 to install its own EV chargers at Walmart and Sam’s Club stores, with a goal of installing thousands of chargers by 2030. Partnering with ABB E-Mobility and Alpitronic, it added 25 new charging sites this past May and six more in June.
“Walmart is building a leading retail-integrated EV fast-charging network, focused on delivering an affordable, reliable and convenient charging experience where customers already shop,” Bohl said in an emailed statement. “Customers can charge while they shop, access stations through the Walmart app they already use, and benefit from affordable pricing.”
The charging stations already available include 612 individual charging stalls using 400-kilowatt chargers. Each stall has a dual charging cord with both Combined Charging System and North American Charging Standard connectors. The standard connectors, designed by Tesla, are smaller and lighter than the combined systems.
The primary way to pay for the chargers is through the Walmart app, but the company is also experimenting with built-in credit card readers to allow those without the app to use the stations.
Customers can check charger availability on the Walmart app. The company said the chargers will be available 24 hours a day.
Business
Waymo reports teen riders for bad behavior and delivers them to the police
Robotaxis could be turning into robocops.
A self-driving Waymo reported two teens to San Mateo, Calif., police on Monday after they were found drinking alcohol and shooting toy guns in the back of the vehicle.
According to a social media post from the San Mateo Police Department, officers detained two 15-year-olds after the Waymo they were riding in contacted the department and stopped in a parking lot until law enforcement arrived.
“Parents do you know where your teens are?” the San Mateo Police Department wrote on Facebook following the incident. “Waymo does!”
Officers removed both teens from the vehicle and determined they were using toy guns to shoot Orbeez out the windows. Orbeez are small, water-absorbing beads sold at toy stores.
“Toy guns, water guns, and BB guns all pose real dangers, especially to an untrained eye,” the Police Department said. “The simple handling of them can cause fear in [passersby].” “
A video posted on Facebook shows at least five officers and a police dog responding to the scene and approaching the Waymo with their weapons raised.
Waymo did not immediately respond to a request for comment.
Waymo vehicles have internal cameras and microphones that may be used in an emergency or to “promote safety and security,” according to Waymo’s online support page.
The cameras are also used to ensure the vehicles are clean and to help find lost items, according to the support page.
The company said it does not use facial recognition or other biometric identification technologies to identify individuals.
“In more urgent circumstances, support may access live video during a trip,” the Waymo page said.
The San Mateo Police Department’s Facebook post has garnered nearly 60 comments, with one user accusing Waymo of “snitching.”
“At least they got a designated driver?!” one user commented.
Business
Commentary: How right-wing anti-transgender attacks led to a Supreme Court ruling upholding sex discrimination
At the Supreme Court, the unfounded fear of boys masquerading as girls in youth sports rolled the clock back on gender equality.
On the surface, the Supreme Court’s June 30 opinion upholding state laws barring transgender girls from women’s and girl’s sports teams looks like a victory for women’s rights.
The 6-3 opinion by Justice Brett M. Kavanaugh certainly presents itself that way. “Females and males have inherent physical differences relevant to athletic performance,” Kavanaugh wrote. “Therefore, in contact sports, forcing female athletes to compete against males can create significant safety risks.” He also asserted that “forcing female athletes to compete against males can undermine competitive fairness.”
The ruling applied to prohibitions enacted in Idaho and West Virginia against “biological” males’ participation on women’s teams in public schools. Federal judges in both states overturned the bans. The Supreme Court majority restored them. The ruling essentially upholds similar bans enacted in 25 other states.
There was no record of any transgender person participating in school sports in the State, let alone any ‘problem’ with transgender students … creating unfair competition or unsafe conditions.
— Justice Sonia Sotomayor, demolishing the Supreme Court’s argument in favor of banning transgender girls from girl’s sports
Kavanaugh, like Donald Trump and others in the anti-transgender camp, maintained that one’s gender is an immutable fact of life, established even before birth.
Anything else, Trump stated in an executive order he issued on inauguration day 2025, could only be the product of “gender ideology extremism.” The U.S., his order stated, recognizes “two sexes, male and female. These sexes are not changeable and are grounded in fundamental and incontrovertible reality.” That’s a “biological truth,” he declared.
In his own version of this overconfident and factually insupportable conclusion, Kavanaugh wrote: “As all agree, females and males have inherent physical differences relevant to athletic performance.”
Science recognizes that some people are “born with sex traits that don’t fit into typical male or female patterns,” to cite a discussion on the Cleveland Clinic web page on the topic “intersex.” The condition “may involve chromosomes, hormones, reproductive organs or genitals.”
From a psychological standpoint, medical science recognizes “gender dysphoria” as a real condition often requiring counseling and medical intervention such as the use of puberty blockers and hormones to stave off the development of secondary sex characteristics until the condition can be resolved.
No one disputes that there are physical differences between the sexes. Few would dispute that on average or even at the median, males may be bigger and more powerful than females, or that in certain contact sports the difference may be telling and on occasion dangerous.
But that’s not the same as asserting that the physical differences between males and females invariably mean that men will invariably prevail over women in all competitions or that their participation will endanger women.
The International Olympic Committee — in a policy statement Kavanaugh cited incompletely — says that in “most running and swimming events,” males have a 10% to 12% advantage over women. That’s a range that would accommodate the full spectrum of outcomes — transgender females win, cisfemales win, they tie. (The “cis” prefix denotes those living consistent with their birth gender.)
West Virginia and Idaho addressed this ambiguity by banning transgender women from all girls’ teams. So under their rules transgender girls can’t play football or soccer with cisgirls. But what’s the argument in favor of banning them from the 100-yard dash, or cross-country track, or diving, or archery?
But something else is going on here. The Supreme Court’s ruling was almost preordained, given the years-long campaign by conservatives to demonize transgender individuals as if they’re members of an alien species.
It will be recalled that during his presidential campaign, Trump spun a despicable fantasy in which children were kidnapped in school and secretly subjected to sex-change operations.
Trump’s executive order wiped out policies aimed at protecting transgender adults from discrimination. He moved to outlaw gender-affirming medical therapies for anyone under 19 by cutting off federal funding for healthcare institutions that provide such care.
He banned transgender individuals from serving in the military and ordered federal prison officials to move transgender inmates into the general populations consistent with their birth genders, which exposes them to physical assault. (Federal Judge Royce Lamberth of Washington, D.C., has blocked the government from transferring three transgender women into the male prison population or terminating their hormone treatments.)
I wrote during Trump’s first term, when his anti-transgender policies were still gestating, that the goal was to show that “one can target any community, as long as it doesn’t have a strong political voice or political power. These are the actions of bullies and cowards, pretending to be strong.”
Last year, the Supreme Court struck its first blow against transgender rights by upholding a Tennessee law banning transgender care, including puberty blockers and hormone therapy, for minors. Similar laws have been enacted in 25 other states. The majority in that ruling by Chief Justice John G. Roberts Jr. was identical to the one in the June 30 ruling — Roberts, Kavanaugh, and Justices Clarence Thomas, Samuel A. Alito Jr., Neil M. Gorsuch and Amy Coney Barrett.
Who are the targets of this ideological campaign? They number only about 1.6 million U.S. adults, or one-half of 1% of the U.S. population. About 300,000 adolescents ages 13 to 17, or 1.4%, identify as transgender, according to a study by UCLA School of Law.
In West Virginia, as Justice Sonia Sotomayor observed in her dissenting opinion, “there was no record of any transgender person participating in school sports in the State, let along any ‘problem’ with transgender students … creating unfair competition or unsafe conditions.”
In endorsing the flat bans directed at transgender women in Idaho and West Virginia, Kavanaugh argued that any attempt to implement case-by-case judgments of students’ requests to join sports teams inconsistent with their biological gender would create “an enormous practical and administrability problem.”
Is that so? That wasn’t the case in Maine, where the annual K-12 population is more than 170,000. There, a committee was charged with determining whether a student’s participation in a sport consistent with their gender identity but inconsistent with their biological sex would “result in an unfair athletic advantage” or present a risk of injury to others. The committee held 56 hearings from 2013 through 2021, or an average of seven per year. During the entire time span, only four involved transgender girls. (The outcome of those hearings couldn’t be learned.)
It was Maine’s policy, one might recall, that provoked a confrontation between Trump and Maine Gov. Janet Mills at the White House last year, when Trump threatened to withhold federal funding from the state unless it barred transgender students from competing on women’s sports teams. “We’ll see you in court,” Mills snapped.
Whether the Idaho and West Virginia laws genuinely protect girls from unfair competition is questionable. (The Idaho law is styled the “Fairness in Women’s Sports Act.”) In practice, the laws may subject women in public schools to “invasive sex verification procedures,” as educational expert George Theoharis of Syracuse University wrote after the court ruling.
They’re also based on a retrograde view of women as fragile creatures needing men’s protection, Theoharis wrote — “the same logic that has historically been used to justify excluding women from making their own healthcare decisions and girls from rigorous math and science; that physically demanding work is simply beyond them.” (There don’t appear to be any state laws barring transgender women from competing in men’s sports.)
Becky Pepper-Jackson, the plaintiff in the West Virginia case, in which she is identified only as B.P.J., is the only transgender girl who sought to join girl’s teams — track and cross-country — in the state. That was in 2021, just after West Virginia passed its law and she was about to enter sixth grade. She didn’t appear to pose any competitive risk to others on the track and cross-country teams she applied to join — her lawyers told the Supreme Court that on those no-cut teams, she “came in near the back.”
Anyway, she had not gone through male puberty, which theoretically might have endowed her with a competitive advantage, because she had been taking puberty blockers and female hormones.
Thanks to the court’s ruling, Sotomayor observed in a dissent joined by Justices Elena Kagan and Ketanji Brown Jackson, West Virginia can deny Becky access to school sports “because it thinks they have an inherent athletic advantage, even if the facts show that they do not.”
B.P.J., Sotomayor wrote, “cannot practice on girls’ teams, even if she would not take anyone’s spot in an eventual competition, even if everyone who tries out for the team makes it, and even if having the chance to participate could aid immensely in treating B. P. J.’s gender dysphoria.”
So whose interest was really protected by the Supreme Court?
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