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On Thursday morning, Dr. Marty Makary, nominated by President Donald Trump to lead the Food and Drug Administration (FDA), successfully passed a significant committee vote with a tally of 14-9. This development paves the way for a full Senate vote on his nomination and could significantly influence the direction of American healthcare.
If confirmed, Dr. Makary will collaborate with Dr. Jay Bhattacharya, the nominee for Director of the National Institute of Health (NIH), to implement Secretary of Health and Human Services Robert F. Kennedy Jr.’s ambitious Make America Healthy Again initiative.
The Senate Committee on Health, Education, Labor and Pensions (HELP) voted in favor of Makary’s confirmation after a thorough committee hearing held just a week prior.
During the recent hearing, Dr. Makary emphasized the need for a transformative approach to healthcare in America. He stated, “We now have a generational opportunity in American healthcare. President Trump and Secretary Kennedy’s focus on healthy foods has galvanized a grassroots movement in America. Childhood obesity is not a willpower problem, and the rise of early-onset Alzheimer’s is not a genetic cause. We should be, and we will, be addressing food as it impacts our health.”
Dr. Makary faced intense questioning from Democratic committee members regarding vaccinations, abortion, chronic illness, and food safety. When asked whether he would consider reversing the FDA approval process for Mifepristone, the abortion pill, he replied that any decisions regarding the drug would be informed by scientific data.
“I have no preconceived plans on Mifepristone policy except to take a solid, hard look at the data and to meet with the professional career scientists who have reviewed the data at the FDA, and to build an expert coalition to review the ongoing data,” Makary articulated, suggesting a commitment to science-based decisions.
Dr. Makary, known for advocating natural immunity during the COVID-19 pandemic, redirected a poignant question from Senator Patty Murray, a Democrat from Washington. She inquired about the lack of a key step in the vaccine approval process that occurred under former President Joe Biden.
“So, if you are confirmed, will you commit to immediately reschedule that FDA Vaccine Advisory Committee meeting to get the expert views?” Murray asked Makary.
In response, Makary expressed a willingness to re-evaluate which topics require a convening of advisory committee members regarding vaccines, while clarifying he was not involved in the earlier decision-making process. “Well, you can ask the Biden administration that chose not to convene the committee meeting for the COVID vaccine booster,” he said, signaling his intention to reassess the FDA’s approach.
During his confirmation hearing, Dr. Makary assured the committee that if confirmed, he would lead independent evaluations of personnel at the FDA. He remarked that the Department of Government Efficiency (DOGE) had been instrumental in terminating numerous probationary employees in the Health and Human Services sector since Trump’s administration began.
“If confirmed, I will do my own independent assessment on personnel. I welcome input on efficiencies at the agency. At the same time, I want to ensure that the scientists and food inspectors and staff, central to the core mission of the agency, have all the resources they need to do their job well,” he stated, underscoring his commitment to improving agency functions and accountability.
Dr. Makary has long been critical of the FDA and has called for new leadership to foster a culture that promotes scientific advancement rather than hinders it. In a 2021 op-ed, he emphasized the necessity for systemic change at the FDA.
In November, Trump nominated Dr. Makary, a professor at Johns Hopkins School of Medicine, pancreatic surgeon, and former Fox News medical contributor, to serve as the FDA commissioner. The appointment signals a shift toward prioritizing health policy reforms.
Trump expressed confidence in Dr. Makary, stating, “I am very pleased to nominate Marty Makary MD, MPH, FACS, for FDA Commissioner. The FDA has lost the trust of Americans and has lost sight of its primary goal as a regulator. The Agency needs Dr. Marty Makary, a highly respected Johns Hopkins surgical oncologist and health policy expert, to course-correct and refocus the Agency.”
In his appointment, Trump noted that Dr. Makary would work under Robert F. Kennedy Jr. to address critical health issues, including evaluating harmful chemicals in the food supply and drugs affecting the nation’s youth. Trump aims for this initiative to confront the alarming childhood chronic disease epidemic that has been a growing concern.
As the nomination heads to the full Senate for a vote, all eyes will be on Dr. Makary and his proposed direction for the FDA. His vision, focused on transparency, scientific integrity, and a commitment to public health, may redefine the agency’s role in safeguarding the health of Americans.