With plans that include removing flouride from the water system and skeptical of vaccines, alliance between Robert F. Kennedy Jr. (left) and Donald Trump could be problematic for public health in Black communities. Credit: Getty Images

Why Trump and RFK Jr. are bad for our teeth โ€” and so much more

When Robert F. Kennedy Jr. ended his longshot 2024 presidential campaign and endorsed Donald Trump, both men made it clear: They are a package deal.

Trump has said Kennedy โ€” a libertarian environmentalist, conspiracy theorist, and vaccine skeptic โ€” will have a place in his cabinet. Indeed, Trump has said he will let Kennedy โ€œgo wildโ€ on public health policy. 

Kennedy wants to use that power to enact a range of controversial moves that would be harmful to Black people, from removing fluoride from the public water supply to promoting anti-vaccination conspiracy theories, some of which have been aimed at the Black community. 

Trump once theorized that COVID-19 could be treated with injections of bleach โ€” and Kennedy believes the pandemic vaccine was created to attack the Black community โ€” leaving public health experts to sound the alarm.  

The issue burst into the national conversation when Kennedy dropped a social media post declaring that the second Trump administration โ€œwill advise all U.S. water systems to remove fluoride from public water.โ€ Fluoride, he wrote, โ€œis an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders, and thyroid disease.โ€

Speaking with NBC News, Trump said the plan โ€œsounds OK to me.โ€

Municipalities have added fluoride to public drinking water systems since 1945. The Centers for Disease Control and Prevention described these public water fluoridation efforts, and vaccines, as among the top 10 public health achievements of the 20th Century.   

Getting rid of fluoride could be a big problem for Americans in general and Black Americans in particular. Research has found Black Americans have worse oral health than their white peers, and they are more susceptible to diseases that are worsened by poor oral health.  

โ€œThe ADA is aware there isโ€ฏwidespread misinformationโ€ฏcirculating online and in social media around community water fluoridation,โ€ the organization said in September. The Association urges its members and the public to be cautious of โ€œpseudo-scientific information.โ€โ€ฏ 

For decades Kennedy has promoted conspiracy theories claiming vaccines against childhood diseases cause autism. And in 2021, Kennedy produced a film called โ€œMedical Racism: The New Apartheidโ€ that exploited the history of medical racism in the United States to argue Covid-19 vaccines were intended to harm Black communities. 

The Covid mortality rate for Black Americans is double that of whites and one-third higher than for Latinos. Research findings are that Covid caused more than 1.6 million excess deaths of Black Americans.  

Medical experts and scientists widely dispute Kennedyโ€™s views on vaccines, and rumors about a link between the MMR vaccine and autism were based on fraudulent research. Public health experts note that vaccination has been a historically effective public health tool and has wiped out or reduced the prevalence of diseases, including smallpox, polio and measles.  

RFK, Jr. was resigned to the fact that racism exists and proposed fuzzy solutions. โ€œWeโ€™re never going to eliminate racismโ€ฆ Weโ€™re hardwired to look for differences in other people and then to essentially practice racism. 

โ€œI donโ€™t think you can change that human nature, but what you can do is you can make kids resilient against it,โ€ said Kennedy. โ€œThe way you do that is by giving them a great education so that they know that they have potential.โ€ 

Vaccines are required for children to attend public schools, and Black children are less likely to be fully vaccinated than white children.  

Neither Trump nor Kennedy has specific proposals to expand health care access for Black Americans, who are less likely to have health insurance than whites. Trump also has put the Affordable Care Act in his crosshairs, even though itโ€™s helped more lower-income and Black people get insurance. 

The danger of the Trump-Kennedy alliance โ€œextends beyond politics to public health,โ€ said physician Kavita Patel. โ€œThis rhetoric could erode trust in essential health measures, potentially leaving millions vulnerable if these ideas translate into policy.โ€ 

Jennifer Porter Gore is a writer living in the Washington, D.C., area.