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So, Mr. Kennedy, why do you cite corrupt journals?

29 May

Robert Kennedy, Secretary of Health and Human Services, has two conflicting statements out in the past couple of days. Earlier this week he stated that he might bar people at HHS from publishing in certain journals. They are “corrupt”, you see. And they have to change their ways. Here’s how Politico described Mr. Kennedy’s comments:


Speaking on the “Ultimate Human” podcast, Kennedy said the New England Journal of Medicine, the Journal of the American Medical Association and The Lancet, three of the most influential medical journals in the world, were “corrupt” and publish studies funded and approved by pharmaceutical companies.

“Unless those journals change dramatically, we are going to stop NIH scientists from publishing in them and we’re going to create our own journals in-house,” he said, referring to the National Institutes of Health, an HHS agency that is the world’s largest funder of health research.

We can discuss why Mr. Kennedy did that. For example, he needs to discredit the journals that have (and likely will continue to) show that his “Gold Standard Science” is nonsense (see the citations at the bottom of this article). But, for the moment, let’s just jump to Mr. Kennedy’s hypocrisy.

You see, he just released “The MAHA Report“. Aside from the fact that it includes made-up citations and, in my opinion, is AI generated slop, it cites the very journals Mr. Kennedy says are corrupt.

Lancet journals are cited 4 times. New England Journal of Medicine is cited 4 times. JAMA (Journal of the American Medical Association) journals about 44 times.

So, these journals are corrupt. We can’t trust them. But, we should trust Mr. Kennedy to carefully vet those articles that are not corrupt. Because, you know, Gold-Standard Science. Or something like that.

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By Matt Carey

Association between thimerosal-containing vaccine and autism (Journal of the American Medical Association)

Conclusion: The results do not support a causal relationship between childhood vaccination with thimerosal-containing vaccines and development of autistic-spectrum disorders.

also

Autism Occurrence by MMR Vaccine Status Among US Children With Older Siblings With and Without Autism

Conclusions and Relevance  In this large sample of privately insured children with older siblings, receipt of the MMR vaccine was not associated with increased risk of ASD, regardless of whether older siblings had ASD. These findings indicate no harmful association between MMR vaccine receipt and ASD even among children already at higher risk for ASD.

Robert F. Kennedy Jr. Didn’t See Autistic People—But They Were There

14 Apr

Kennedy wants us to believe that autism was vanishingly rare when he was young. Instead, he’s revealed something much simpler: he didn’t know what autism looked like.

Robert Kennedy Jr. often tells a story meant to bolster the idea that autism is a modern epidemic. When he was a teenager, he volunteered at the Wassaic State School in New York. His takeaway? He never saw anyone with autism. The implication is clear: autism must be new. An epidemic, and one caused by vaccines. But there’s a problem with his story: there were a lot of autistic people at Wassaic.

At best, Kennedy’s story reveals more about his own lack of awareness than it does about autism. Based on data from the California Department of Developmental Disabilities (CDDS)—data Kennedy himself has cited in various arguments—to support the idea that autistic people were indeed present in institutions like Wassaic in significant numbers during the time he volunteered there.

His revisionist anecdote is standard in the “autism epidemic” playbook. First, you take old prevalence studies at face value—as though diagnostic practices and awareness haven’t changed dramatically over the decades. In the 1970s, autism was estimated at around 3 in 10,000. Wassaic housed somewhere between 2,400 and 5,000 residents at the time. If you apply that (outdated) prevalence rate, you might expect only one or two autistic individuals in the entire institution.

You can be forgiven if you don’t see the logical flaw in that argument. Apparently, Mr. Kennedy cannot. The autism prevalence in a place like Wassaic would have been much higher than that in the general population. 3 in 10,000, even if it were an accurate autism prevalence, is not the number to use. Pretty obvious once it’s spelled out.

So let’s do what Kennedy doesn’t: look at the numbers. Let’s ask how many autistic people were at Wassaic.

I examined a historical dataset from the CDDS* and asked a simple question: for individuals born around the same time as Kennedy (and, thus, would be representative of the age of students at the “school”), how many are recognized as autistic compared to those with intellectual disability (ID)? The answer: about 1 in 20. Implicit in Mr. Kennedy’s logic is that many or most of these autistic people would have been at places like Wassaic.

So, if you are looking at a population of people with developmental disabilities in 1972, you’d expect one diagnosed autistic** for every 20 people with intellectual disability. That one person probably is both autistic and intellectually disabled. So, on average, every classroom group Mr. Kennedy would have seen would have a recognized autistic person. Or, to put it another way, ff Wassaic had 5000 residents, there’d be about 250 autistic people.

Kennedy states he didn’t see recognize anyone who was autistic at Wassaic. And why would he have understood the people he saw were autistic? He was about 18 years old. Even now, he’s not a doctor. He’s not trained in neurodevelopmental disorders. The idea that he could identify autism in a mid-century institutional setting, from his memories as a teenager, is implausible at best.

So Kennedy wasn’t seeing too few autistic people. They were there. He was simply unable to recognize them.

This isn’t a complicated scientific issue. It’s about context, data, and critical thinking—qualities Kennedy claims to value but rarely applies. And that matters, because his ignorance has consequences.

Kennedy uses the “autism epidemic” narrative to stoke vaccine fear. He’s spent two decades promoting misinformation that undermines public health. Today, people are dying of preventable diseases in places like Texas because of narratives like his.

But my reasons for writing this go beyond public health.

This matters because it hurts autistic people. When Kennedy claims that autistic individuals didn’t exist before, he erases generations of people who went undiagnosed and unsupported. It’s not just bad science—it’s dehumanizing.

If Kennedy wants to lead, he needs to start by recognizing the people he claims to care about.

By Matt Carey***

*Here’s a screenshot of the spreadsheet I got from CDDS. It is from 2015. I added a column with the ratio of consumers in the autism category to the ID category. For people born around the same time as Mr. Kennedy, the age group likely represented at Wassaic when he was there, it’s about 1:20. I.e. for every 20 people at Wassaic with ID, there was at least one autistic individual. All this without saying “they weren’t diagnosed”.

Once, again, I’ll stress autism was vastly undercounted then. I have literally hundreds of articles on this blog discussing this.

**and a lot more undiagnosed autistics, but that’s the logic Mr. Kennedy and his community denies.

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“if you’ve been involved in good science, you have got nothing to worry about” Why did you lie, Mr. Kennedy?

7 Apr

We have recently seen a huge layoff at HHS. It’s amazing to think that just 2 months ago, Robert Kennedy was saying this wouldn’t happen.

On February 14, Robert Kennedy promised that people involved in good science would have nothing to worry about in terms of losing their jobs. He had a “generic list” of people who should be let go, but people working on good science were safe.

“I have a list in my head … we have a generic list of the kind of people that — if you’ve been involved in good science, you have got nothing to worry about,” Kennedy said during an appearance on Fox News’s “The Ingraham Angle” Thursday night.

“If you care about public health, you’ve got nothing to worry about. If you’re in there working for the pharmaceutical industry, then I’d say you should move out and work for the pharmaceutical industry,” he added.

Shortly after that, he started indiscriminately firing people. It’s so bad he’s admitting he made a mistake and has to bring people back. That’s not “you’ve got nothing to worry about”.

One area that affects the autism community directly is the Administration for Community Living.

The Administration for Community Living, which coordinates federal policy on aging and disability, was gutted – 40% of staff there lost their jobs, according to Alison Barkoff, the former head of the agency who says she learned this by talking to multiple members of her former staff. The ACL funds programs that run senior centers and distributes 216 million meals a year to older and disabled people.

These are not people doing science, but they are definitely people who care about public health who are not working for the pharmaceutical industry. It’s hard to see gutting this organization as being within Mr. Kennedy’s comments on FoxNews. At all.

Which is why I ask: did you know you were lying at the time, Mr. Kennedy? Or did you just not have the guts to stand up and defend good people doing good work when you were told to cut them?

Having watched Mr. Kennedy for decades, I never expected him to have a backbone when he got into power. Sacrificing the jobs of people who directly help disabled people in order to keep his job, yes, that’s in line with what I expected. Mr. Kennedy hired a staunch anti-vaccine pseudo-scientist, so we know where his priorities lay.

By Matt Carey

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James Terence Fisher: RFK Jr., autism and long-debunked theories

7 Apr

The Pittsburgh Post-Gazette has an article by James Terence Fisher: RFK Jr., autism and long-debunked theories. If I start quoting, I’ll copy the whole article. So, I’ll just recommend you follow the link and read the article in place.

Prof. Fisher mentions “Autism families of a certain vintage”. I am of that vintage. I’ve watched his son grow up through blog posts over the years. I too saw Robert Kennedy over decades and David Geier promote bad science and bad medicine. The harm they have caused is real and it can only get worse with them in positions of power. Prof. Fisher gives another perspective on the history, from an autism father’s point of view.

By Matt Carey

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RFK Jr’s Pee Wee Herman moment

4 Apr

This would be funny if Mr. Kennedy weren’t playing games with one of America’s greatest assets: our public health system. What specifically this time, you may ask?

The Wall Street Journal is reporting that Mr. Kennedy plans to reinstate many fired employees (RFK Jr. Plans to Reinstate Some Federal Workers, Programs). Which is a very good thing. Except they (and the rest) should never have been let go in the first place. Per the WSJ:

“Some programs that were cut, they’re being reinstated,” Kennedy said Thursday. “Personnel that should not have been cut were cut. We’re reinstating them.”

But here’s where it becomes a Pee Wee Herman moment: he meant to do that. No, seriously, he’s saying he always meant to make mistakes and bring people back:

“That was always the plan,” he said, referring to fixing mistakes and the Department of Government Efficiency’s approach to making federal cuts. “Part of the DOGE—we talked about this from the beginning—is we’re going to do 80% cuts, but 20% of those are going to have to be reinstalled, because we’ll make mistakes.”

Because that’s what a good manager does. Fire a whole lot of people and then ask the good ones to come back and not be pissed off and spend their time looking for a new job. Right?

Seriously, these are people’s lives you are dealing with, Mr. Kennedy. You don’t just tell someone, “pack your desk. We didn’t even give you the respect you deserve” and then, “please come back. We meant to do that to you. But don’t be disgruntled or anything.”

I didn’t go to management school, or business school, but even I can tell this is a bad management and bad business move. We don’t need amateurs running billions of dollars of America’s assets. Especially ones who can’t even admit mistakes.

This is a Pee Wee Herman “I meant to do that moment”. Don’t do it again.

By Matt Carey

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How RFK Jr. could add $100B a year to the debt

31 Mar

If autism were a vaccine injury, i.e. if it was legitimate to add autism to the vaccine injury table, I would say, “change the schedule now and pay however many families deserve it, no matter the cost.” But autism is not a vaccine injury. I will note that if Mr. Kennedy truly believed autism is a vaccine injury, he wouldn’t have hired David Geier to do the studies. Having Mr. Geier run an autism study is the equivalent of using loaded dice in a game of craps. Mr. Kennedy is buying the outcome he wants to see. If he wants to do more autism/vaccine studies, let the science speak, to quote Mr. Kennedy himself. He’s not doing that.

Robert Kennedy is (rightly) getting a lot of attention for his vaccine related actions. Just last week he pushed out the FDA’s top vaccine official (Top US vaccine official forced to resign, reports say). I will suggest it’s past time to stop reacting and start looking ahead–ask ourselves what is going to happen and what will the fallout be? That said, if we’ve learned anything from Mr. Kennedy, it’s that one should be careful and not fall into the conspiracy theory trap. So I’ll be careful and conservative as I predict what I think Mr. Kennedy is planning.

One Kennedy goal that seems obvious to me (and many others): get autism recognized as a vaccine injury. Get autism added to the vaccine injury table* to allow families to obtain compensation from the vaccine program. Perhaps he’s made this statement outright. I wouldn’t be surprised. But even if he hasn’t, I doubt many who have followed Mr. Kennedy’s words and actions would argue that this is a likely goal for him.

Let’s say he’s successful. What would be the result? Specifically, what would this cost? The vaccine court, after all, awards monetary compensation. It’s a pretty simple calculation:

$17B is a lot, but it’s not the $100B in the title of the article. Where did I get that? The support needs for an autistic person vary greatly, but, I would argue, they are higher than the average vaccine injury recipient. Also, we are talking about very young autistic children here, so there will be a lot of uncertainty projecting the lifelong needs and the court may be convinced to provide payouts on the higher end of the scale. Often in the past, I saw payments of about $1m to provide support for a lifelong disability awarded by the court, so I chose that number when I wrote the title of this piece. If we take 104,000 autistic kids being awarded $1m a year, we get $104B a year in vaccine court awards.

Let’s state the obvious: that’s a huge amount of money. That’s about 8 aircraft carriers a year. If Elon Musk found $104B a year in savings, believe me, we’d be hearing about it.

To put this more in context, the vaccine program has a trust fund of about $4.3B. This would be gone in the first year (potentially the first month) of autism cases being handled as a table injury. Technically, the vaccine court would have no money after that, and the awards should stop. This would put congress in a tight spot: allocate more money, or tell their constituents that that they voted to deny compensation to disabled children. I suspect they would vote to allocate funds. So we are talking about somewhere between $17B and $100B a year added to the budget, which would be directly added to the national debt.

I will admit that this is a very rough estimate of the financial cost. We could argue how much the average award would be. We could argue that not all autistic kids would get awards, even if autism were added as a table injury. So, maybe the total would go down. However, I also would argue that more kids will be diagnosed as autistic should autism be added as a table injury. Many more. How that balances out in the end can be debated, but I think a reasonable person can see that the answer will be billions of dollars a year and very likely many billions of dollars a year.

If autism were a vaccine injury, i.e. if it was legitimate to add autism to the vaccine injury table, I would say, “change the schedule now and pay however many families deserve it, no matter the cost.” But autism is not a vaccine injury. I will note that if Mr. Kennedy truly believed autism is a vaccine injury, he would not have hired David Geier to do the studies. Having Mr. Geier run an autism study is the equivalent of using loaded dice in a game of craps. Mr. Kennedy is buying the outcome he wants to see. If he wants to do more autism/vaccine studies, he would let the science speak. To quote Mr. Kennedy himself. He’s not doing that.

As I stated at the outset, one has to be careful of relying upon conspiracy theories. I believe I’ve stayed away from that here. I’ve made assumptions of what I think Mr. Kennedy wants to accomplish, but I think those are valid assumptions. And the cost analysis is very simple and I’ve laid it out very clearly. No chance to hide some trick in the math. I could be off by a factor of 10 and the conclusion would be the same.

One could and should ask why I am focusing on the financial cost and not the human cost. First, because autism is not a vaccine injury, we aren’t talking about a real human cost. Second, the financial cost is what will get the attention of Mr. Trump, Mr. Musk and congress. Sad to say, but I believe that to be the case.

The most logical outcome of adding autism to the vaccine injury table, in my opinion, is that congress and the president would be forced to choose between keeping autism on the vaccine injury table and ending the infant vaccine program. End the infant vaccine program and many people in Mr. Kennedy’s community (possibly including Mr. Kennedy himself), will say “mission accomplished.”** Pull autism off the table and the net effect is pretty much the same. The idea that vaccines cause autism will be accepted and vaccine uptake will drop. Many states will stop mandating infant vaccines. The infant vaccine program would be effectively dead.

Either way, Mr. Kennedy will be able to say, “See, I’m not anti-vaccine. I didn’t direct the infant vaccine program to end. They just followed the “science” (that I directed be created when I hired David Geier).”

By Matt Carey

* The vaccine injury table lays out injuries that are presumed to be caused by a vaccine. For example, if one develops paralytic polio within 30 days of getting the oral polio vaccine, it is assumed to be caused by the vaccine. If you haven’t heard of this, that’s because the U.S. doesn’t use the oral polio vaccine anymore.

** Recall that one of the people at Mr. Kennedy’s “Children’s Health Defense” is JB Handley (Vice Chair in 2018). Recall that Mr. Handley once wrote: “With less than a half-dozen full-time activists, annual budgets of six figures or less, and umpteen thousand courageous, undaunted, and selfless volunteer parents, our community, held together with duct tape and bailing wire, is in the early to middle stages of bringing the U.S. vaccine program to its knees.”

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David Geier now works for HHS. He’s supposedly going to do autism/vaccine studies

27 Mar

I’ve been waiting for an announcement like this since Robert Kennedy was named Secretary of HHS. Someone from his community, someone known for pushing out bad and very biased studies, would be named to do vaccine/autism research. I’ll admit, my money was on someone else. But, in general, this announcement does not surprise me.

I first saw this in a link someone sent to me from the Washington Post: Vaccine skeptic hired to head federal study of immunizations and autism. The story is by Lena H. Sun and Fenit Nirappil. I will admit, I have cancelled my Washington Post subscription, but Lena Sun is one of the authors I will miss supporting.

David Geier is part of the father/son team that brought us the “Lupron Protocol“. You can read up on the details here and elsewhere, but I will just say flat out the opinions I’ve made clear many times: it was junk science of the worst sort and, even more, it was abusive to disabled children. In addition to that, the Geiers have a long and story career of junk science and bad medicine. It takes a lot to lose your medical license. Mark Geier (David’s father) did.

Unless he has gone back to school, David Geier holds a B.A.. He’s never held a real research position that I am aware of. He doesn’t have the background to be an assistant to the people who have done studies he apparently will be re-investigating, much less lead a project on his own. And, I think the record shows clearly, he is clearly and terribly biased.

Given news of this sort, I’d expect Science Based Medicine to have an article out quickly. Steven Novella did just that in David Geier Hired to Study Vaccines and Autism. It’s a good read and I don’t want to duplicate too much of what he says. But here’s one key paragraph:

Tapping David Geier tells us everything we need to know – this is a hit job. In my opinion, Geier has zero credibility in the scientific community due to his long history of crankery in this area. He is not qualified as is evidenced by a long history of shoddy science and discredited conclusions.

David Gorski at Respectful Insolence has also chimed in, with great detail and his own flair in David Geier: A blast from the antivax past hired to “prove” vaccines cause autism. Worth reading to get more details on the history of the Geier team.

So allow me to add a few secondary observations on what is happening. Per the Washington Post:

The information that the CDC has turned over to NIH includes the underlying data from four studies on vaccines and autism published in the 2000s, three current officials said. None of the papers found any link.

Step back and think about what this means. My opinion: the goal is not just to show that vaccines cause autism, but to discredit the previous studies and, with that, the CDC researchers who did that work. And, in general, public health researchers in general.

My next point has to do with Mr. Geier’s position at HHS. He’s listed as a senior data analyst* with the organization listed as HHS/OS/ASFR. AFSR is the Office of the Assistant Secretary for Financial Resources. A strange place to place an epidemiologist type person, isn’t it? Take a look at the org chart below. This is not a place for someone doing research like this. Not only that, but if my (admittedly limited) ability to read Mr. Geier’s entry in the HHS phone book is accurate, he appears to report directly to the Assistant Secretary or the Principal Deputy Assistant Secretary. Why? Why isn’t he in some team of, oh, I dunno, epidemiologists, reporting to someone who, call me silly, can check his work?

Also, this begs the question: is Mr. Geier going to be influencing grants? I.e., is he just shoehorned into this position or is he going to help the people who work on grants and such? This next is a stretch, but what if he’s going to help get grants to other credulous “researchers”? I suspect projects are supposed to be approved through a different office, and this is more for managing finances. But, who knows in this topsy-turvy world.

One could imagine a world where Mr. Geier was invited in to work with people with the expertise to do these studies. You know, make sure there are no shenanigans and all. That would give Mr. Kennedy a chance to get an answer he doesn’t want to see. That would take guts. Frankly, if I’ve learned anything over the past 20 years it’s this: Robert Kennedy has no guts. He can’t face the fact that he’s not only wasted decades of his life, but that he’s caused harm. Harm to disabled children and their families. No, I don’t think Mr. Kennedy has that sort of courage. And with this decision, he’s proving me correct.

by Matt Carey

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Farewell to Steve Silberman

13 Nov

For those who don’t know, Steve Silberman passed away recently. I’ve been trying to find a good way to write about his passing here. Steve wrote Neurotribes, a book which changed the way people see autism. For that I will always be grateful. He was a great science journalist, an expert on the Grateful Dead and other music and so much more.

His family and friends held a life celebration for Steve and I’ve linked to it below. The video will only be live for a short while, so don’t put off watching it. People who knew Steve much better than I and people who were much closer to Steve spoke and did a much better job than I ever could, so I will keep this brief.

If you watch the video you will hear people talk about all the amazing things Steve did. And they were amazing. But they spent most of their time talking about what a good human Steve was. That church was packed because a lot of people sincerely loved Steve.

I commented to a friend recently, “Ever notice that all the pictures people share of Steve have Steve hugging them?”

I can’t think of a better example of a successful life. Be excellent in what you do, and that includes being a beautiful human being.

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By Matt Carey

Robert Kennedy isn’t just weird. Apparently, he’s also creepy.

4 Oct

Robert Kennedy (RFK Jr) has been a parasite on the autism community for decades. In that time he has failed to impress on scientific acumen and integrity. Recent news articles have shown Mr. Kennedy to make very questionable choices. Such as leaving a dead bear cub in central park and transporting the head of a dead whale on the roof of his car. But a story out today, if true, shows Mr. Kennedy to be beyond weird. He may be a slimy creep.

Recently, a journalist was put on leave for having a relationship with Mr. Kennedy. The “relationship” is reported in a few outlets (e.g. here at the NY Post) and I’m not going to reprint the details. So, he cheats on his wife. Well, America decided that’s no big deal when they elected Donald Trump as president. So, why do I claim Mr. Kennedy is a creep?

A recent story reports that Mr. Kennedy has been carrying on affairs with at least three women at his charity, “Children’s Health Defense”. CHD is the descendent of the “mercury militia” orgs of the past. Who are the women involved? Are they autism moms?

Do I find these accusations plausible? There have been rumors for a long time that the charlatans preying financially on autism moms at the “conferences” they hold have taken advantage of these same autism moms. And, frankly, if true the idea is worse than creepy.

But here’s the thing. Yes, charlatans have been bilking autism families out of money, a lot of money, for decades. Yes, there are rumors that the “luminaries” of the anti-vaccine movement have taken advantage of vulnerable autism moms. And these stories will make the news. But these “luminaries” have been behind promoting (directly or indirectly) fake “therapies” that amount to nothing less than the abuse of disabled children. And, for some reason, that doesn’t make news.

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by Matt Carey

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Team Trump, ever classy, stigmatize people with mental illness to excuse their own bad behavior

28 Aug

NPR reports Trump campaign staff had altercation with official at Arlington National Cemetery. Apparently, members of Mr. Trump’s team chose to disrespect on of America’s most sacred places:

A source with knowledge of the incident said the cemetery official tried to prevent Trump staffers from filming and photographing in a section where recent U.S. casualties are buried. The source said Arlington officials had made clear that only cemetery staff members are authorized to take photographs or film in the area, known as Section 60.

Mr. Trump’s spokesperson, Stephen Cheung, gave NPR a statement:

“The fact is that a private photographer was permitted on the premises and for whatever reason an unnamed individual, clearly suffering from a mental health episode, decided to physically block members of President Trump’s team during a very solemn ceremony,” Cheung said in the statement.

Not only did Mr. Cheung try to deflect blame for the incident, he did so while blaming someone “clearly suffering a mental health episode”. I get politicians lying and trying to dodge blame. It’s what they do. And Mr. Trump never, ever, ever accepts blame or admits a mistake. I get that. I expect this from Mr. Trump. But, seriously, Mr. Cheung, why did you have to drag people with mental health issues into this story? Seriously, you can lie without stigmatizing people.

But first you should wake up and care about stigmatizing people, Mr. Cheung. I get it, you work for someone who has repeatedly mocked people with disabilities. On one notable occasion, he imitated the motion of a reporter with a physical disability. Mr. Trump’s supporters claim that Mr. Trump often uses such motions. Or, that he was “doing a standard retard“. Because always mocking people with disabilities is a good defense?

OK, Mr. Cheung. You work for a jerk. You have a choice, you know.

For people wondering about whether Mr. Trump’s team had the right to film what was obviously a campaign stop at Arlington, NPR reports:

“Federal law prohibits political campaign or election-related activities within Army National Military Cemeteries, to include photographers, content creators or any other persons attending for purposes, or in direct support of a partisan political candidate’s campaign,” according to the statement. “Arlington National Cemetery reinforced and widely shared this law and its prohibitions with all participants.”

The people in the disability communities, and by that I include people who love people with disabilities, vote. We may not have carried the day in 2016, but that doesn’t mean we won’t have an impact in 2024.
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By Matt Carey

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