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U.S. Public Interest Research Group

U.S. PIRG, the federation of state Public Interest Research Groups (PIRGs), stands up to powerful special interests on behalf of the American public, working to win concrete results for our health and our well-being. With a strong network of researchers, advocates, organizers and students in state capitals across the country, we take on the special interests on issues such as product safety, public health, campaign finance reform, tax and budget reform and consumer protection, where these interests stand in the way of reform and progress.

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The State of Health in America: A Political and Scientific Crossfire

Health and Human Services Secretary Robert Kennedy Jr. testifies before the Senate Finance Committee at the Dirksen Senate Office Building on September 04, 2025 in Washington, DC.

(Photo by Andrew Harnik/Getty Images)

The State of Health in America: A Political and Scientific Crossfire

At the heart of the Trump administration’s health agenda is a dramatic reorientation of public health priorities. Secretary of Health and Human Services, Robert F. Kennedy Jr. declared during a Senate hearing last week:

“We at HHS are enacting a once-in-a-generation shift from a sick-care system, to a true health care system that tackles the root causes of chronic disease.”

“Make America Healthy Again” has been met with both praise and fierce resistance. Republican Senator Mike Crapo supported the initiative, saying:

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The Promise Presidency: How Trump Rewrote the Rules of Political Accountability

President Donald Trump reacts as he speaks to the media while signing executive orders in the Oval Office of the White House on September 05, 2025 in Washington, DC.

(Photo by Kevin Dietsch/Getty Images)

The Promise Presidency: How Trump Rewrote the Rules of Political Accountability

In the theater of American politics, promises are political capital. Most politicians make promises cautiously, knowing that if they fail to fulfill them, they will be held accountable

But Donald Trump has rewritten the script. He repeatedly offers sweeping vows, yet the results often don't follow; somehow, he escapes the day of reckoning.

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