2026-04-01T10:06:49.306Z / 路透社
作者:博·埃里克森与莉亚·道格拉斯
2026年4月1日 UTC上午10:06 1小时前更新
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美国卫生与公众服务部部长小罗伯特·F·肯尼迪在一场新闻发布会上发表讲话,美国总统唐纳德·特朗普在旁聆听。此次发布会宣布自闭症与儿童疫苗以及孕妇和儿童使用热门止痛药泰诺之间存在关联,此类说法并无数十年的…… 购买授权,打开新标签页查看更多
- 内容摘要
- 特朗普政府在中期选举前正考虑优先处理哪些健康议题
- 此次拖延时长超过特朗普此前对抗不利法院裁决的其他案件
- MAHA相关团体呼吁提起上诉
华盛顿4月1日路透电 —— 卫生部长小罗伯特·F·肯尼迪的支持者正敦促为这项由其“让美国再次健康”(MAHA)运动助力推动的美国疫苗改革发起抗争。
然而在法院裁决叫停疫苗改革关键内容两周后,特朗普政府尚未采取任何上诉步骤,此次拖延时长超过特朗普曾积极对抗质疑其议程的联邦裁决的其他案件。
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与此同时,共和党人正忙于谋划如何在11月的中期选举中最好地捍卫其在众议院和参议院的微弱多数席位,这让疫苗抗争的局势变得更为复杂。
据四名高级政府官员透露,特朗普政府仍在权衡是否提起上诉,同时正在梳理哪些健康议题最能获得选民支持。
政府必须在数百万肯尼迪的MAHA支持者的支持与公众对其疫苗议程的普遍低支持度之间寻求平衡。这些支持者此前已因特朗普下令扩大农药生产而感到不满。MAHA被视为关键选民群体,其选票是特朗普在2024年大选获胜的关键因素。
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“白宫在此方面需要极其谨慎地拿捏分寸,因为它希望在中期选举前保住所有联盟阵营,”共和党政治策略师杰夫·格拉庞内说道。
肯尼迪联合创立了反疫苗组织“儿童健康防御”,并将疫苗与自闭症联系起来,这一理论早已被科学证伪。路透社2月的一项民调显示,两党民众均支持儿童疫苗接种。
当被问及是否打算就该案件提起上诉时,白宫未予回应。卫生与公众服务部发言人安德鲁·尼克松表示:“除非我们正式宣布,否则任何关于我们下一步行动的断言都是毫无根据的猜测。”
行动迟缓
3月16日,一名联邦法官裁决美国疾病控制与预防中心1月的行为违法,当时该机构大幅削减了广泛推荐的儿童疫苗接种数量。
该法官还表示,肯尼迪罢免并替换疾控中心疫苗咨询委员会所有成员,代之以与其反疫苗观点意识形态一致的任命人员,这一行为违法。
为加快上诉进程,司法部本可抢先要求由民主党总统乔·拜登任命的波士顿联邦地区法官布莱恩·墨菲暂停该裁决,这是其在其他案件中曾使用过的策略。
司法部也可要求墨菲重新考虑其裁决,或向波士顿的美国第一巡回上诉法院提起上诉,这是向美国最高法院提起进一步上诉的前置程序。政府仍在60天的上诉窗口期内。
乔治·华盛顿大学法学教授萨拉·罗森鲍姆曾是疫苗委员会成员,她提交了支持原告的法庭之友意见书。她表示,政府的不作为值得关注。
在其他案件中,政府“刚一作出裁决就立刻提起上诉,效率极高”,她说道。
周二,政府仅用了数小时就对一名法官阻止特朗普计划中的4亿美元白宫宴会厅建设的裁决提起上诉。
下一步仍不明朗
四名政府官员告诉路透社,政府之所以未采取行动,是因为前进道路仍不明朗。
一名官员表示,政府正考虑仅就罢免委员会成员一事提起上诉。
另一名官员表示,尚未就是否就裁决中的该部分内容提起上诉,还是接受裁决并按照法官要求重组委员会做出最终决定。该官员称,肯尼迪仍在权衡其选择。
两名消息人士透露,鉴于此次改革争议巨大,卫生部1月发布的疫苗公告被视为今年疫苗领域的主要举措。
曾为共和党工作的政策顾问艾比·麦克洛斯基表示,如果接受裁决,白宫和MAHA可从该运动议程中最不受欢迎的疫苗议题转向更受民众欢迎的议题,如儿童饮食和科技使用。
“他们应该接受裁决并转向其他议题,”她说道。
两名消息人士告诉路透社,近几周白宫已敦促其健康政策重心从疫苗转向健康饮食等话题。
北卡罗来纳大学公共卫生教授诺埃尔·布鲁尔曾是原专家疫苗委员会成员,他表示目前尚不清楚此前的委员能否复职,以及如何复职,且任何调整都不会很快完成。布鲁尔称,新成员的甄选流程通常需要一年时间,他自己的甄选流程则耗时一年半。
委员会成员罗伯特·马龙博士表示,他已在与肯尼迪交谈后离开了委员会。
MAHA相关团体要求上诉
MAHA的主要团体期望法院裁决能够被上诉并推翻。
托尼·莱昂斯是肯尼迪的长期盟友,也是其著作的出版商,目前担任MAHA行动主席。他在3月18日的网络研讨会上表示,特朗普和肯尼迪已展现出对MAHA议题的承诺。
“虽然这是短期挫折,但使命和方向都很明确,”他说道。
尽管遭到法官和司法部的反对,“儿童健康防御”仍试图介入此案。上周,该组织就法官将其排除在外的裁决提起上诉,并表示将就疫苗委员会裁决提起上诉,不过其需要成为案件当事方才能推进相关程序。
“我们不会允许这种情况继续存在,”该组织首席执行官玛丽·霍兰德说道。
莉亚·道格拉斯与博·埃里克森在华盛顿报道;迈克·厄尔曼在纽约、朱莉·斯廷胡森在芝加哥以及内特·雷蒙德在波士顿补充报道;卡罗琳·胡默尔与比尔·伯克罗特编辑
我们的标准:汤姆森路透社信任原则
As Trump weighs US vaccine appeal, Kennedy supporters want a fight
2026-04-01T10:06:49.306Z / Reuters
By Bo Erickson and Leah Douglas
April 1, 2026 10:06 AM UTC Updated 1 hour ago
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U.S. Secretary of Health and Human Services Robert F. Kennedy Jr. delivers remarks while U.S. President Donald Trump listens during a press conference to announce a link between autism and childhood vaccines and the use of popular pain medication Tylenol for pregnant women and children, claims which are not backed by decades of… Purchase Licensing Rights, opens new tabRead more
- Summary
- Trump administration considering which health issues to prioritize ahead of midterms
- Delay is longer than in other cases in which Trump has fought unfavorable court rulings
- MAHA groups want ruling appealed
WASHINGTON, April 1 (Reuters) – Supporters of Health Secretary Robert F. Kennedy Jr. are pressing for a fight for the U.S. vaccine overhaul their “Make America Healthy Again” movement helped create.
But two weeks after a court ruling halted key aspects of the vaccine revamp, the Trump administration has not taken any steps to appeal, a delay longer than for other cases where President Donald Trump has aggressively fought federal rulings challenging his agenda.
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Meanwhile, Republicans are busy strategizing how best to defend slim majorities in the U.S. House and Senate in November’s midterm elections, complicating the vaccine fight.
The Trump administration is still weighing whether to appeal, according to four senior administration officials, as it works through which health issues are most voter friendly.
The administration must balance the support of millions of Kennedy’s MAHA backers, who were already upset by Trump’s order to boost pesticide production, against low general public support for his vaccine agenda. MAHA is seen as an important constituency whose votes were key to Trump’s win in the 2024 election.
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“The White House has a very delicate needle to thread here because it wants to preserve all of its coalition heading into the midterms,” said Jeff Grappone, a Republican political strategist.
Kennedy co-founded the anti-vaccine group Children’s Health Defense, and has tied vaccines to autism, a theory long debunked by science. A Reuters poll in February found bipartisan support for childhood vaccinations.
Asked if they intended to appeal the case, the White House did not respond. “Unless officially announced by us, any assertions about what we are doing next is baseless speculation,” said Health and Human Services spokesperson Andrew Nixon.
LACK OF ACTION
On March 16, a federal judge ruled that the Centers for Disease Control and Prevention acted unlawfully in January, when it sharply cut the number of broadly recommended childhood vaccinations.
The judge also said Kennedy’s removal and replacement of all members of a vaccine advisory committee to the CDC with appointees ideologically aligned with his anti-vaccine view was unlawful.
To move quickly on an appeal, the Justice Department could have preemptively asked Boston-based U.S. District Judge Brian Murphy, an appointee of Democratic President Joe Biden, to put the ruling on hold, a tactic it has used in other cases.
It could also have asked Murphy to reconsider his order or move to appeal the decision to the Boston-based 1st U.S. Circuit Court of Appeals, a precursor to pursuing any further appeal to the U.S. Supreme Court. It can still appeal under a 60-day window.
George Washington University law professor Sara Rosenbaum, a former vaccine committee member who filed a friend-of-the-court brief in support of the plaintiffs, said the lack of action was noteworthy.
In other cases, the administration has been “kapow, turning around and filing your appeal before the ink was dry,” she said.
On Tuesday, the administration took just hours to appeal a judge’s ruling that blocked construction of Trump’s planned $400 million White House ballroom.
NEXT STEPS UNCLEAR
The four administration officials told Reuters the lack of action is because the path forward is still up in the air.
One official said it was considering an appeal focused on the removal of the committee members.
Another said a final decision had not been made on whether to appeal that part of the ruling, or to accept the ruling and remake the committee in line with the judge’s requirements. That official said Kennedy was still weighing his options.
The Health Department’s January vaccine announcement was seen as this year’s main action on vaccines, given how controversial the overhaul had been, two of the sources said.
Accepting the ruling could allow the White House and MAHA to pivot from the least popular part of the movement’s agenda to more favorable issues like children’s diets and technology use, said policy consultant Abby McCloskey, who has worked for Republicans.
“They should take the block and move on,” she said.
The White House in recent weeks urged its health policy focus away from vaccines to topics like healthy eating, two sources told Reuters.
Noel Brewer, a University of North Carolina public health professor who was on the original expert vaccines panel, said it was unclear if or how the previous members could be reinstated, and that any changes would not be quick. Brewer said the vetting process for new members typically takes a year, and his own took a year and a half.
One committee member, Dr. Robert Malone, said he has left the committee after speaking with Kennedy.
MAHA GROUPS WANT APPEAL
Key MAHA groups have an expectation that the court ruling will be appealed and overturned.
Tony Lyons, a longtime Kennedy ally and publisher of his books who is now president of MAHA Action, said on a March 18 webinar that Trump and Kennedy have demonstrated commitment to MAHA issues.
“While this is a short-term setback, the mission and the direction are clear,” he said.
Children’s Health Defense has tried to insert itself into the case despite opposition from the judge and the Justice Department. Last week, it appealed the judge’s decision excluding it and said it would appeal the vaccine committee ruling, though it would need to be a party to the case to do so.
“We will not allow this to stand,” said the group’s CEO, Mary Holland.
Reporting by Leah Douglas and Bo Erickson in Washington; Additional reporting by Mike Erman in New York, Julie Steenhuysen in Chicago and Nate Raymond in Boston; Editing by Caroline Humer and Bill Berkrot
Our Standards: The Thomson Reuters Trust Principles.
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