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Transcript: 杰罗姆·亚当斯做客《与玛格丽特·布伦南面对面》,2026年3月29日

2026-03-29T12:40:00-0400 / 哥伦比亚广播公司新闻

以下是前特朗普政府首任美国卫生局局长杰罗姆·亚当斯的采访实录,该采访于2026年3月29日在《与玛格丽特·布伦南面对面》节目中播出。

*

玛格丽特·布伦南: 欢迎回到《面对面》。现在我们邀请到前美国卫生局局长杰罗姆·亚当斯医生,他今天上午从印第安纳波利斯加入我们的节目。医生,早上好。

前美国卫生局局长杰罗姆·亚当斯医生: 感谢邀请我做客,玛格丽特。首先我想说明,观众最需要了解的是,美国当前最紧迫的健康威胁并非阿片类药物或肥胖,而是信任危机。70%的美国人表示支持儿童疫苗接种和学校疫苗强制令,但同样多数的民众表示不信任罗伯特·肯尼迪发布的健康信息,也不会信任卫生局局长提名人凯西·米恩斯。因此,如果我们不承认这种急剧下滑的信任,甚至任由情况进一步恶化,将会损害美国民众的利益。事实上,玛格丽特,根据共和党民调机构法布里齐奥·沃德的调查,这还会在11月的选举中伤害共和党。

玛格丽特·布伦南: 这并不是我问题的初衷,但没错,我看过相关民调。民调显示,“美国医疗自由联盟”(MAHA)的健康指导比疫苗怀疑论更能获得选民认同。共和党似乎在发出更贴合大多数选民心声的信号。但就当前的政策而言,你在特朗普首届任期内担任过卫生局局长。据美国疾控中心(CDC)数据,自1月以来,美国已确认超过1500例麻疹病例,犹他州还出现了疫情爆发。为什么现有的医疗基础设施无法遏制这种情况?

亚当斯医生: 这是个很好的问题。首先你得明白,美国卫生与公众服务部(HHS)已有近2万人被裁员。通常情况下,我们每年都会出现麻疹病例:2024年约有250例,去年约有2000例。正如你所说,今年我们已经达到了1500例。但正常情况下,我们能够通过疾控中心和公共卫生基础设施及资金投入来控制疫情暴发。而这一切都被削减了。如今,原本只会发展为两三例的病例被遏制,现在却演变成20例、50例甚至100例。我们还看到疫苗接种率持续下降,美国多个州的麻疹群体免疫覆盖率跌破了95%的阈值,包括犹他州、科罗拉多州、佛罗里达州、佐治亚州和肯塔基州。我们离这个阈值越远,疫情暴发就越猛烈。

玛格丽特·布伦南: 你提到了那份备忘录。这份民调机构的报告由长期为总统和共和党提供咨询的托尼·法布里齐奥撰写。他在备忘录中写道,有关疫苗和疫苗安全性的政策需要谨慎且细致地处理,因为总体而言,微弱多数的选民并不认为疫苗会对健康产生负面影响。他的发言是在探讨“美国医疗自由联盟”和“让美国再次伟大”(MAGA)阵营如何为共和党利益携手合作。但他说微弱多数的民众对此持怀疑态度,坦率地说,这听起来像是你们的政党在这个问题上确实陷入了困境。

亚当斯医生: 他们确实如此。我理解家长们对医疗体系的不满,这个体系并没有为民众服务。作为医生,我们一直被教导要尊重患者的自主权。但这里的区别在于,我们现在看到卫生部长和相关机构正在主动散播对疫苗和医疗体系的不信任。我认为我们可以兼顾两者:尊重患者的自主权,同时确保促进患者与医生、药剂师或护士之间的沟通,与此同时告诉民众我们已知的事实。那就是,麻疹、腮腺炎、风疹等儿童疫苗是安全、有效的,也是我们一生中最重要的公共卫生成就。如果我们在疫苗接种方面倒退,就不可能让美国变得更健康。

玛格丽特·布伦南: 参议院卫生委员会主席、同时也是医生的比尔·卡西迪参议员,询问了你提到的凯西·米恩斯医生——特朗普政府提名的下一任卫生局局长。他问她是否会建议母亲为孩子接种麻疹疫苗。以下是她在确认听证会上的回应片段。

[录音开始]

参议员比尔·卡西迪(共和党,路易斯安那州): 你是美国的医生。你会鼓励这位母亲为孩子接种疫苗吗?

凯西·米恩斯医生: 我不是某位个体患者的医生,每个人在使用药物前都应该和自己的医生沟通。我绝对支持麻疹疫苗,我也相信疫苗能够挽救生命,是公共卫生战略的重要组成部分。

[录音结束]

玛格丽特·布伦南: 这位医生确实表示支持麻疹疫苗。为什么这还达不到你对这个职位候选人的期望?

亚当斯医生: 首先,我观看了听证会。经过多次追问和含糊其辞后她才做出这样的表态。她说自己不是个体患者的医生,这一点没错,但她申请的是美国医生的职位。对我而言,这既不关乎个人恩怨,也不涉及政治,而是她根本不具备担任该职位的基本资质。她没有有效的执业医师执照,这将是美国历史上首位没有有效执业执照的卫生局局长。除此之外,正如你提到的,在麻疹疫情大规模暴发之际,美国需要一位能够明确支持疫苗接种的卫生局局长。我上任时,美国正面临阿片类药物泛滥和过量用药危机。试想一下,如果我作为卫生局局长说,“这不是我该告诉人们使用纳洛酮——阿片类药物过量逆转剂——的事,他们应该和自己的医生讨论”,这在当时是绝对不可接受的。而在当前情况下,一位在疫苗问题上含糊其辞的卫生局局长,更何况是一位无法合法行医、连医师执业资格都不具备的人担任此职,同样不可接受。

玛格丽特·布伦南: 不过,这位医生目前持有非活跃状态的医师执照,她表示自己是主动将执照转为非活跃状态的。我想谈谈这个问题,这看起来更像是刻意为之,而非疏漏,对吗?因为卫生与公众服务部部长称米恩斯医生是这份工作的完美人选。他说,卫生局局长是道德权威的象征,能够对抗将医疗行业商业化的金融和机构势力。他还说,米恩斯曾是优秀的学生和外科住院医师,但她脱离了传统医疗行业,因为患者没有得到好转,这也是她此时应该成为改革者的原因。既然你提到了信任危机,你会如何回应那些认为这次提名的目的就是推动改革的人?

亚当斯医生: 首先,最近的Axios民调显示,68%的受访者表示不会信任凯西·米恩斯这位卫生局局长给出的健康建议。如果公众提前就表示不会信任你提名的人选,你就无法重建信任。而且,我不想轻描淡写这件事:每位医生、护士、药剂师和公共卫生服务团成员都必须持有有效的执业执照。我曾因没有有效执业医师执照而解雇过员工。所以这和改革无关。凯西·米恩斯可以加入本届政府,可以为白宫提供建议,可以像她的兄弟那样为卫生与公众服务部部长提供咨询,但这并不意味着她有资格担任美国卫生局局长——毕竟她中途放弃了住院医师培训,也没有有效的执业执照。

玛格丽特·布伦南: 是的,还要补充一点,目前参议院尚未确认疾控中心主任人选,而此时正值疫情危机。我还想问问社交媒体的问题。上周发生了几起重大案件:新墨西哥州陪审团裁定Meta平台通过误导用户关于Facebook、Instagram和WhatsApp的安全性,违反了消费者保护法;加利福尼亚州也有另一桩诉讼,指控Meta与一名年轻女性的抑郁症有关。作为一名医生,你确信社交媒体与健康存在直接关联吗?

亚当斯医生: 作为一名医生,同时作为一名家长,我确信这些关联是真实存在的。我有三个十几岁的孩子。根据卫生局局长默西的报告,越来越多且非常可靠的证据表明,使用社交媒体,尤其是在较低年龄段,会增加焦虑和抑郁风险,减少睡眠,而睡眠不足会引发心理健康问题,还会导致肥胖。因此,作为一个社会,我们需要认识到社交媒体带来的危害,就像过去卫生局局长们指出烟草的危害一样。我们也需要像对待烟草那样,明确社交媒体平台具有极强的成瘾性。这些诉讼也表明,它们和当年烟草制造商试图引诱儿童上瘾一样,专门设计了功能来吸引儿童成瘾。

我很高兴我们正在就此展开讨论。政策制定会很困难,但澳大利亚已经采取了行动:他们禁止16岁以下儿童使用社交媒体。我相信已有25个州正在讨论或已经出台立法,禁止将社交媒体和手机带入校园。我们需要真正认识到,儿童无限制地接触屏幕时间和社交媒体正在对他们造成伤害。

玛格丽特·布伦南: 在结束采访前,肯尼迪部长昨天在保守派政治行动会议上发表了讲话。他表示担心手机的影响,并建议家长不要让孩子睡觉时把手机放在床边。你同意这个建议吗?

亚当斯医生: 同意。事实上,美国儿科学会(AAP)和加利福尼亚州卫生部门都表示,我们不应该让孩子的卧室里有手机。手机会让他们熬夜,还会让他们持续遭受网络欺凌。没错,这是一个很好的做法。我同意部长的这个观点。我希望能和部长找到共同点,在这一点上我们达成了共识:我们不应该让年轻人接触手机和社交媒体,尤其是在夜间他们的卧室里。

玛格丽特·布伦南: 好的,医生,感谢你今天分享的见解。我们马上回来。

Transcript: Jerome Adams on “Face the Nation with Margaret Brennan,” March 29, 2026

2026-03-29T12:40:00-0400 / CBS News

The following is the transcript of the interview with Jerome Adams, surgeon general in the first Trump administration, that aired on “Face the Nation with Margaret Brennan” on March 29, 2026.

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MARGARET BRENNAN: Welcome back to Face the Nation. We turn now to former U.S. Surgeon General Dr. Jerome Adams, who joins us this morning from Indianapolis. Good morning to you, Doctor.

FORMER U.S. SURGEON GENERAL DR. JEROME ADAMS: Thanks for having me, Margaret. And I’d like to start by saying that the most important thing for your viewers to understand is that America’s most pressing health threat today isn’t opioids or obesity, it’s mistrust. Seventy percent of Americans say they support childhood vaccines and school mandates. Yet a similar majority say they do not trust health information from Robert Kennedy and say they would not trust Surgeon General nominee Casey Means. So a failure to acknowledge this plummeting trust, or worse, if we’re seeing to accelerate it, is going to hurt Americans. And actually, Margaret, according to Republican pollster Fabrizio Ward, it’s going to hurt Republicans in November elections.

MARGARET BRENNAN: Well, that’s not where I was going with the question. But yes, I’ve seen some of that polling. And it says that the MAHA health guidance resonates more with voters than the vaccine skepticism. So Republicans seem to be signaling what would be more resonant with the majority of voters. But in terms of the policy at this moment in time, you were President Trump’s surgeon general during his first term. There are now more than 1,500 confirmed measle cases in the U.S. since January, according to the CDC. There is this spike out in Utah. Why can’t the existing health infrastructure stop this?

DR. ADAMS: Well, that’s a great question. And you have to start off by understanding that almost 20,000 people have been cut from HHS. And so normally, we have measles cases every year. We had about 250 in 2024. We had about 2,000 last year. As you mentioned, we’re at 1,500 already this year. But normally, we’re able to control those outbreaks because of the CDC, because of public health infrastructure in funding. All of that has been cut. And now instead of one case turning into two or three and being stopped, it’s turning into 20, and 50 and 100 cases. And we’re also seeing falling vaccination rates, a broad group of states are falling below that 95% threshold for herd immunity for measles. Utah, Colorado, Florida, Georgia, Kentucky, all below that 95% threshold. And the further we get below that, the more these outbreaks explode.

MARGARET BRENNAN: Well, you mentioned the memo. This was a pollster who continues to consult for the president and for Republicans, Tony Fabrizio. In the memo, he writes, policies related to vaccines and vaccine safety need to be addressed carefully and with nuance. That’s because overall, a slim majority of voters are not convinced there are negative health impacts from vaccines. He was speaking about how MAHA and MAGA need to continue to work together for the benefit of the Republican Party. But by saying there’s a slim majority who are unconvinced, he’s making it sound like your party really is struggling with this, frankly.

DR. ADAMS: Well, they absolutely are. And I understand why parents are frustrated with the health care system. It is not working for people. And we’ve always, as physicians, been taught to respect patient autonomy. But the difference here is you’re seeing a health secretary and an infrastructure that is actively sowing distrust in vaccines and in the healthcare system. I believe we can do both. I believe we can respect patients’ autonomy. We need to make sure we’re facilitating those conversations between patients and their doctors or their pharmacists or nurses, while at the same time telling people what we know to be true. And that is that childhood vaccines like measles, mumps, rubella, are safe, they’re effective, and they’re the most important public health achievement of our lifetimes. We’re not going to make America healthier if we go backwards on vaccines.

MARGARET BRENNAN: So the chair of the health committee, Senator Bill Cassidy, who’s also a physician, asked Casey Means, she is the doctor you referenced, who is the choice of the Trump administration to be the next surgeon general. He asked her whether she would recommend a mother vaccinate her child against measles. Here’s the part of the exchange from her confirmation hearing.

[SOUND ON TAPE BEGINS]

SEN. BILL CASSIDY (R-LA): You’re the nation’s doctor. Would you encourage her to have her child vaccinated?

DR. CASEY MEANS: I’m not an individual’s doctor and every individual needs to talk to their doctor before putting a medication in their body. I absolutely am supportive of the measles vaccine and I do believe vaccines save lives and are an important part of the public health strategy.

[SOUND ON TAPE ENDS]

MARGARET BRENNAN: So the doctor did say she is supporter- supportive of the measles vaccine. Why does that stop short of what you would want to hear from someone in that role?

DR. ADAMS: Well, number one, I watched the hearing. This was after much pressing and equivocating, number one. And she said she’s not an individualist doctor. That is correct. But you’re applying to be the nation’s doctor. For me, this isn’t personal or political, number one, and I’ve talked to you about this, it’s about her not having the basic qualifications to do the job. She does not have an active medical license and would be the first surgeon general ever to be in the role to not have an active medical license. But beyond that, to the point you brought up, in the midst of a massive measles outbreak, America needs a surgeon general who can clearly stand behind vaccines. When I came in, we had the opioid epidemic and an overdose crisis. Imagine if I had said, you know, as surgeon general, it’s not my place to tell people to take naloxone, the opioid overdose reversal agent, they should talk to their doctor about it. That would not be acceptable in that circumstance, and it’s not acceptable to have a surgeon general who equivocates on vaccines, much less one who can’t actually practice medicine and meet the qualifications to be a physician in the court.

MARGARET BRENNAN: Well, the doctor apparently has an inactive medical license that she says she voluntarily placed on inactive status. And I want to talk about this because it seems a feature, not a bug, right? Because the HHS secretary has described Dr. Means as being perfect for this job. He says the surgeon general is a symbol of moral authority who stands against the financial and institutional gravities that corporatize medicine. He said she was a great student and surgical resident, but she left traditional medicine because patients weren’t getting better, and that’s why she should be the disruptor in this moment. So when you say there’s distrust, how do you respond to those who say disruption is the purpose of this selection?

DR. ADAMS: Well, again, number one, a recent Axios poll came out, and that poll showed that 68% of people who were questioned said they would not trust health advice from a Surgeon General Casey Means. So you’re not going to restore trust if preemptively the public is telling you we’re not trusting the person you’re putting forward. And again, I don’t want to underplay this. Every physician, every nurse, every pharmacist and the Public Health Service Corps has to maintain an active license. I had to fire people for not having an active medical license. So this is not about disruption. Casey Means can be a part of this administration. She can advise the White House. She can advise Secretary Kennedy, as her brother does. But that does not mean she’s qualified to be surgeon general of the United States after dropping out of her residency and not having an active license.

MARGARET BRENMAM: Yeah, and just a note, there is also no Senate-confirmed CDC director currently amid the crisis. Let me ask you about social media as well, because there were these big cases this past week. A New Mexico jury found that Meta platforms violated consumer protection laws by misleading users about the safety of Facebook, of Instagram, and of WhatsApp. Out in California, there was another lawsuit linking Meta to a young woman’s depression. As a doctor, are you convinced that social media has a direct link to health?

DR. ADAMS: As a doctor and as a parent, I’m convinced of these facts. I have three teenage kids. We know, based on Surgeon General Murthy’s report, that there is increasing and very valid evidence out there showing links between social media use, particularly at a younger age, and increasing anxiety, increasing depression, less sleep, which actually leads to mental health problems and also obesity. And so we need to, as a society, understand the harms that are coming from social media, similarly to the harms that surgeon generals have pointed out before coming from cigarettes. We also need to, similar to cigarettes, point out the fact that these substances, meaning social media platforms, are incredibly addictive. And we’re hearing again in these lawsuits that they were specifically designed to addict children, again, the way cigarette manufacturers tried to addict children back in the day.

So, I’m happy that we’re having a conversation about this. The policy is going to be hard, but Australia has already done it. They’ve banned social media for people under 16. You have 25 states, I believe, that are to the point where they’re discussing or have legislation keeping social media and phones out of schools. And we need to to really understand the harm that’s occurring to our children because of this unfettered access to screen time and social media.

MARGARET BRENNAN: Before I let you go, Secretary Kennedy spoke to the Conservative Political Action Conference yesterday. He said he’s worried about cellphones and recommends parents don’t let their kids sleep with phones beside the bed. Would you agree with that recommendation?

DR. ADAMS: Yes. Actually, AAP, the American Academy of Pediatrics, the Health Department of California, all say that we should not allow cellphones in children’s bedrooms. It keeps them up at night and subjects them to bullying constantly. And yes, it is a good practice. And I agree with the secretary on this. I want to find common ground with the secretary. This is one place where we agree we should not be exposing young people to cellphones and social media, particularly in their bedrooms at night.

MARGARET BRENNAN: All right, Doctor, thank you for your insights today. We’ll be right back.

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