Trump and RFK Jr. Want to Make America Poisoned Again
PFAS and “clean coal” for everyone!

This weekend, The Guardian reported that the Trump administration is “quietly” planning to gut both federal and state regulations on PFAS, which are commonly known as forever chemicals. It would do this, Tom Perkins reported, by “changing the way the [Environmental Protection Agency] carries out chemical risk evaluations, which would also pre-empt state laws that offer one of the few meaningful checks on toxic chemicals in consumer products.” An EPA employee, who requested anonymity over retaliation fears, said the administration would “exclude a huge number of consumer products from being considered for risk management.”
This approach to PFAS would be something of a masks-off moment for the administration on public health. While dismissive or hostile toward vaccines, cancer research, epidemiology, and more, the administration at least claims to be interested in limiting chronic disease, boosting fertility, and advancing other health and purity preoccupations under the banner of Health and Human Services Secretary RFK Jr.’s slogan “Make America Healthy Again.” HHS has moved to ban food dyes, and one would assume that RFK Jr. would see PFAS as a similarly ubiquitous threat to personal health—especially since he has previously been a vocal critic of forever chemicals, as well as microplastics.
For those who have been following the administration closely, the Guardian report is absolutely not the first or only sign that it may not actually be serious about chronic disease and environmental health. The EPA earlier withdrew a Biden-era plan to limit the release of PFAS into drinking water. Under RFK Jr.’s leadership, HHS has canceled vital grants that were working to address some of the chronic diseases he claims to be interested in. And as TNR contributing editor Liza Featherstone recently pointed out, Kennedy seems to have completely abandoned his former bête noire, microplastics, in recent months—even as new, troubling research has emerged suggesting the threat they pose is far greater than previously realized.
Yet there’s perhaps a special drama and dissonance in the administration’s PFAS position. PFAS, which get their nickname from their astonishing persistence in the environment and the human body, have been linked to cardiovascular disease, kidney and testicular cancer, type 2 diabetes, childhood obesity, hormonal disruption, and reduced immune system function—you know, chronic disease and bodily fitness–type stuff. There’s some evidence they also disrupt fertility, a fixation of Vice President JD Vance and prolific babymaker Elon Musk. In a particularly grim twist noted previously in this newsletter, research suggests women who’ve borne multiple children may have lower levels of PFAS solely because they pass some of their PFAS load into their children’s bodies during pregnancy. And prenatal and early-childhood PFAS exposure has even been linked to symptoms of ADHD, rates of which the Trump administration claims to find especially troubling. (In a typical move, the administration has also attacked ADHD medication.)
Limiting PFAS is also wildly popular with the public: In polling last year by Data for Progress, three-quarters of likely voters—including a whopping 71 percent of Republicans—supported new EPA standards limiting the amount of PFAS in drinking water. Trump’s EPA head Lee Zeldin previously supported federal action on PFAS, in his prior life as a congressman representing Long Island, and said in his confirmation hearing that PFAS would be a “top priority” for him in his current role.
Yet if this recent report is accurate, the Trump administration isn’t just dismantling PFAS regulations at the federal level. It’s trying to prevent states from limiting PFAS too. This tactic, colloquially known as “preemption,” has been a favorite tool of the right in recent years—ironic, perhaps, given conservatives’ self-professed devotion to small government and local sovereignty. Republicans often deploy the tactic to protect corporations’ prerogative to poison people: 20 GOP-dominated states have passed preemption laws that prohibit cities from banning gas hookups.
The Trump administration’s war on both state and local authority and on environmental health appears to be escalating. On Tuesday, the president signed an executive order to “[Reinvigorate] America’s Beautiful Clean Coal Industry.” Coal pollution has been linked to respiratory disease, cardiovascular disease, and even cognitive impairment and neurodegeneration. In 2023, researchers combing through Medicare death records concluded that coal pollution had caused roughly half a million of those deaths between 1999 and 2020. The president also signed an executive order on “Protecting American Energy From State Overreach.” In the name of “American energy dominance and our economic and national security,” it seeks to block policies any state might enact to try to protect its people from the risks of fossil fuels.
Taken together, these moves make clear that Trump and Kennedy were never serious about making America healthier. The only people these actions will protect are corporate executives, who will get richer as the country gets sicker.
Stat of the Week
80,000
That’s how many houses in the New York area could be “lost to floods over the next 15 years,” per a new report.
What I’m Reading
Relentless rain and storms kill at least 24 in South and parts of Midwest
The stories out of Tennessee, Kentucky, and other nearby states in the past few days—including that of a 9-year-old swept away by floodwaters on his walk to the bus—make for very hard reading. They come amid steep cuts to both the National Weather Service and the Federal Emergency Management Agency.
Cities have ordered evacuations as rescue crews in inflatable boats checked on residents in Kentucky and Tennessee, while utilities shut off power and gas in areas from Texas to Ohio. The Tennessee Emergency Management Agency said it is working with local and federal partners to evaluate storm damages and decide whether they meet the criteria for a major federal disaster declaration. The agency has advised residents to report any damages to their local emergency management offices.
“As long as I’ve been alive—and I’m 52—this is the worst I’ve ever seen it,” said Wendy Quire, the general manager at the Brown Barrel restaurant in downtown Frankfort, Kentucky, the state capital built around the swollen Kentucky River.
“The rain just won’t stop,” Quire said Sunday. “It’s been nonstop for days and days.”
Officials diverted traffic and turned off utilities to businesses in the city as the river was expected to crest above 49 feet Monday at a record-setting level, said Frankfort Mayor Layne Wilkerson. The city’s flood wall system is designed to withstand 51 feet of water.
Read the full report at CBS News.
This article first appeared in Life in a Warming World, a weekly TNR newsletter authored by deputy editor Heather Souvaine Horn. Sign up here.