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On Instagram , the wellness women dont seem like a political movement. Their pictures scroll by like snapshots from heaven. Angels with luminous skin offer glimpses into their livesearth-toned vignettes of gleaming countertops and root vegetables. You can look like us, feel like us, their chorus goes, if you follow our rules and purchase our powders.

Here, an influencer named Kendra Needham, known to her 369,000 followers as the Holistic Mother, recommends a red-light-therapy gadget for pain and thyroid problems. There, Carly Shankman, who posts as CarlyLovesKale, evangelizes about the healing powers of hydrogen-rich water and a probiotic oral-care regimen. Courtney Swan, the host of a health-trends podcast called Realfoodology, links to a menstrual-cycle-tracking app and her own line of immunity boosters in minimalist-chic packaging.

Scrolling through these accounts, I try to reassure myself: I eat vegetables and exercise. My body is fine the way it is, sturdy and practical like a short-bed pickup truck. But I am susceptible to retail therapy, and, boy, are these ladies sellingproducts, yes, but also anxiety that perhaps you havent been doing wellness very well at all. Linger long enough on any of their pages, and you will start to feel afraid: of seed oils, childrens cereal, hormonal birth control. Above all, you will grow more suspicious of doctors and scientists.

Cultivating such feelings has been key to the merger between Donald Trumps MAGA supporters and the wellness world that has resulted in the formation of the Make America healthy again campaign. Although many Americans are skeptical of Robert F. Kennedy Jr., a scion of Americas most famous political family, as the potential next head of the Health and Human Services Department, his supporters see him as the supreme commander in the battle against Big Food and Big Pharma. Kennedy is not merely a man who has stumbled into the spotlight; he is a leader with a legion behind him.

Trumps election win has been quickly written up as evidence of his campaigns success in reaching young men via podcasts and the right-wing mediasphere. What that narrative misses is how Instagram became a rallying point of crunchy moms for a contest in which the predicted wave of women for Kamala Harris never materialized. Influencers such as these wellness women brought hordes of voters to Trump.

People who have, until this point, mostly been outsiders beating against the barricades of the health-care establishment, have at last been let inside. Now MAHA leaders see a chance to usher in their version of a wellness revolution.

Read: RFK Jr. is in the wrong agency

The wellness movement has always been about individual autonomy and responsibilityan effort to take charge of ones own physical and mental health, through diet change, the use of specialized products, or the adoption of new habits. The appetite for such health-care individualization is tremendous: Earlier this year, McKinsey estimated the global market for what it calls consumer wellness products at $1.8 trillionmaking it roughly twice the size of the pharmaceutical industry. The sheer scale of the movement suggests a culture of people feeling very out of control in their own livesand fearful of people who they deem as being in control, Mariah Wellman, a communication professor at Michigan State University who studies the wellness movement, told me.

In September, I went to Capitol Hill to cover an early MAHA event, a roundtable on American health and nutrition involving health experts moderated by Ron Johnson, the Trump-aligned senator from Wisconsin. Kennedy attended, alongside a dozen other leaders in the wellness biz, most of whom did not have relevant degrees but did have a product or a program to promote. Realfoodologys Swan and Vani Hari, the Food Babe, were there; so was Alex Clark, a podcaster for the conservative-youth organization Turning Point USA. Also present were the close Kennedy advisers and sibling co-authors of a new book about how to hack your metabolism, Casey Means, a former ear, nose, and throat surgeon, and Calley Means, a former food and pharma lobbyist who now runs a wellness company.

The panelists had a combined Instagram following of more than 16 million people, including many in my high-school and college circle. I get it: People want to be healthy, and America has a serious health problem. We spend nearly twice as much on health care per person as any other wealthy nation, yet our rates of obesity and diabetes are higher than most other countries. People feel seen by the wellness world, and often scolded by conventional health-care providers advice: Exercise more; eat your greens; get your shots.

Different versions of the wellness movement have permeated both the left and the right, and social media has drastically expanded its reach on both sides. COVID-19 exploded that influence: Masking rules, school closures, and vaccine mandates led to plummeting trust in doctors and scientists as well as frenzied do your own research expeditions.

Republicans, in particular, have benefited from that surging distrust. This summer, in Texas, I attended Turning Points annual gathering of young conservative women, where party activists and commentators mingled with anti-vax homesteaders and sourdough-making tradwives. They sold supplements and detox guides, and chanted for Trump. It was a precursor to the MAHA movement, which solidified in August when Kennedy officially endorsed Trump. Although Kennedy had also apparently been willing to endorse Vice President Harris in exchange for a role in her administration, his ultimate alliance with Trump makes more sense. Both have branded themselves as disruptors of the status quo: Down with expertise, up with matching hats. And both Kennedy and Trump are promising cure-alls for the countrys most grievous ailments.

The typical MAHA Instagrammer, according to Wellman, is a middle-to-upper-class mom between 20 and 40 years old, with a similarly situated audience of followers. For most of these influencers, their scope of expertise knows no limit. Kendra Needham, who calls herself a holistic health practitioner, posts information about mammograms, pink eye, autism, and natural remedies for curing your childs toe-walking. On her landing page, she also recommends a $47 tick-removal kit.

Like Needham, most MAHA influencers are skeptical of vaccines and critical of Americas pediatric-vaccine schedule. They allege that medical professionals oppose their ideas because they have been bought by Big Pharma, and that nutritionists are in bed with Big Food. They argue that, as Wellman summarizes it, all of the money in U.S. politics has led to the takeover of our public-health system, and that has led to increasing numbers of cancer and diabetes and heart disease and obesity. The wellness women are constantly reminding their followers that they understand the strain mothers are underthe overwhelming pressure to look good, feel good, and keep their families healthy. In their posts, they offer messages conveying solidarity. You got this, mama! they say. Its so hard to unlearn everything youve been taught.

How Kennedy would actually translate wellness into action at HHS remains to be seen. The Make America Healthy Again PAC, which isnt affiliated with Kennedy but is led by former Kennedy campaign advisers, is light on policy specifics and heavy on hopeful ambiguities about ending the chronic disease epidemic and removing toxins from the environment. That vagueness is likely an intentional effort to make Kennedy, a longtime anti-vax crusader, more palatable to skittish Republican lawmakers as they ponder his confirmation. But the MAHA influencers see no need to tread so lightly.

For months, theyve liberally peppered presidential politics into their messaging, and laid out their expectations of Kennedy and the other Trump appointees charged with fixing Americas health. Online, a groundswell has formed around a few key priorities: restricting food additives such as high-fructose corn syrup, artificial dyes, and sed oils; tap-water safety; and childhood vaccines. Their understanding is that were going to get rid of everything, from toxins to government corruption, Wellman said.

And they couldnt be more excited to get started. Clark, the Turning Point podcast host, described her vision of an America under Trump and Kennedy: Organic food in abundance. Breathe free without chemicals falling from the sky. Paychecks fat, people arent. Needham expressed incredulity at the idea that all parents arent filled with so much gratitude right now.

Kennedy himself seems eager to go wild at HHS, per his charge from Trump. Given recent statements, he may urge Americans to cook with beef tallow instead of canola oil and push for the removal of fluoride from tap water, ideas that some cardiologists and dentists say would increase rates of heart disease and tooth decay. Doctors are even more concerned about the consequences of Kennedys vaccine skepticism. If vaccination rates drop, expect a return of highly preventable childhood diseases such as measles. Kennedy has already been linked to a deadly measles outbreak in 2019 in Samoa, where local health officials said he contributed to a disinformation campaign about vaccines.

Kennedys other wellness-inspired prioritiessuch as his plan to ban TV advertising by pharmaceutical companiescould have an anti-corporate, pro-consumer appeal. The challenge, of course, is that the party with which Kennedy and his followers have aligned with is, quite famously, opposed to the kinds of regulation and funding these plans would require.

During Trumps first term, he demonstrated his unwavering commitment to deregulating both the food and agricultural sectors. A similar approach this time around could poison the Trump-Kennedy alliance and alienate the incoming presidents MAHA supporters. Or perhaps, eternally uninterested in policy detail, Trump will choose to indulge them.

For now, the MAHA influencers will continue operating as an Instagram booster club for the Trump-Kennedy agenda. And if Kennedy is ultimately confirmed at HHS, expect them to wield their following to support whichever policy he champions firstespecially if he faces resistance. Prepare for the bad guys to completely gaslight so many American people and convince them to defend their toxic products, Needham wrote on Instagram. We saw it happen with c0v!d and we will certainly see it again. We arent falling for it.

Read: America cant break its wellness habit

The prospect of a MAHA takeover at HHS is alarming to the people who have spent their lives studying public health. In recent months, many have launched their own countermovementdespite how Sisyphean that task looks right now.

The MAHA movement, its critics say, obscures the systemic problems with American health in favor of minor detailsand profits from doing so. They point to figures such as Hari, the Food Babe, who has long decried various artificial food ingredients and whose recent quest has been to force Kelloggs to remove certain additives from Froot Loops. The additives in question, four dyes and a preservative, have been linked to health problems in larger doses, though the FDA has deemed them safe in the smaller amounts of a typical portion. Haris project has spawned petitions and protests; meanwhile, she promotes her own, additive-free products to her 2 million followers on Instagram.

Americans are not unhealthy because of individual ingredients, Jessica Knurick, a dietician with 186,000 Instagram followers, told meand other professionals in the field tend to agree. Americans are unhealthy because they consume too many calories, dont move enough, and arent getting enough fiber. And because nutrient-dense foods arent affordable for families, and schools are reimbursed only about $4 for every lunch a student eats. Programs that help families access and afford healthy food are constantly being cuttypically by Republican politicians.

The social determinants of health are never talked about by this movement, Knurick said. Of course, social determinants dont sell supplements. This is not a movement to make America healthy, Knurick said. Theyre trying to erode trust in health expertsand their motive for doing so, she argues, is to make money, secure votes for Republicans, and distract from the new administrations coming bonfire of regulations.

Communicating all of this is a complicated jobone too complicated for Instagrambut that hasnt stopped Knurick from trying. She and other health experts on Instagramincluding the Food Science Babe, a chemical engineer and food scientist whose name is a rejoinder to her wellness nemesis, the Food Babe; Andrea Love, an immunologist and a microbiologist; and the nutritionist Adrian Chavezhave made hundreds of videos and posts in recent weeks responding to MAHA claims, point by point. Getting audience and attention is a tough task, because accurate science communication is nuanced. And frankly, nuance is kind of boring.

Right now, MAHA is on offenseand any criticism of the movement guarantees days of harassment, emailed death threats, and accusations of corruption. Even though were called paid shills all the time, were doing these videos in our free time, after we get home from work, Love, the immunologist, told me. Its the consequence of MAHAs ascendance that she and other critics fear most: a society not only distrustful of science and expertise, but actively hostile toward both.

Since Trumps win last month, the wellness influencers have been celebrating. Its our time, CarlyLovesKale wrote on Instagram. This is the shift our world needs. But they are frustrated, too, to be facing so much scrutiny. Resistance is wrong, they say, and questioning their motives makes you complicit. If you had told me that in 2024 we would have people actively against making America healthy again, I wouldnt have believed you, Swan, of Realfoodology, wrote. If you are against a healthier food system, she added, youre def not on the right side of things.

After all, the MAHA victors insist they are selling a healthier America. Who wouldnt want to buy that?

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Hundreds of NHS quangos to be axed – as plans unveiled for health funding to be linked to patient feedback

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Hundreds of NHS quangos to be axed - as plans unveiled for health funding to be linked to patient feedback

NHS funding could be linked to patient feedback under new plans, with poorly performing services that “don’t listen” penalised with less money.

As part of the “10 Year Health Plan” to be unveiled next week, a new scheme will be trialled that will see patients asked to rate the service they received – and if they feel it should get a funding boost or not.

It will be introduced first for services that have a track record of very poor performance and where there is evidence of patients “not being listened to”, the government said.

This will create a “powerful incentive for services to listen to feedback and improve patients’ experience”, it added.

Sky News understands that it will not mean bonuses or pay increases for the best performing staff.

NHS payment mechanisms will also be reformed to reward services that keep patients out of hospital as part of a new ‘Year of Care Payments’ initiative and the government’s wider plan for change.

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Speaking to The Times, chief executive of the NHS Confederation Matthew Taylor expressed concerns about the trial.

He told the newspaper: “Patient experience is determined by far more than their individual interaction with the clinician and so, unless this is very carefully designed and evaluated, there is a risk that providers could be penalised for more systemic issues, such as constraints around staffing or estates, that are beyond their immediate control to fix.”

He said that NHS leaders would be keen to “understand more about the proposal”, because elements were “concerning”.

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Health Secretary Wes Streeting said: “We will reward great patient care, so patient experience and clinical excellence are met with extra cash. These reforms are key to keeping people healthy and out of hospital, and to making the NHS sustainable for the long-term as part of the Plan for Change.”

In the raft of announcements in the 10 Year Health Plan, the government has said 201 bodies responsible for overseeing and running parts of the NHS in England – known as quangos – will be scrapped.

These include Healthwatch England, set up in 2012 to speak out on behalf of NHS and social care patients, the National Guardian’s Office, created in 2015 to support NHS whistleblowers, and the Health Services Safety Investigations Body (HSSIB).

The head of the Royal College of Nursing described the move as “so unsafe for patients right now”.

Professor Nicola Ranger said: “Today, in hospitals across the NHS, we know one nurse can be left caring for 10, 15 or more patients at a time. It’s not safe. It’s not effective. And it’s not acceptable.

“For these proposed changes to be effective, government must take ownership of the real issue, the staffing crisis on our wards, and not just shuffle people into new roles. Protecting patients has to be the priority and not just a drive for efficiency.”

Elsewhere, the new head of NHS England Sir Jim Mackey said key parts of the NHS appear “built to keep the public away because it’s an inconvenience”.

“We’ve made it really hard, and we’ve probably all been on the end of it,” he told the Daily Telegraph.

“The ward clerk only works nine to five, or they’re busy doing other stuff; the GP practice scrambles every morning.”

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Chants of ‘death to America’ at funeral for Iranian military commanders and scientists

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Chants of 'death to America' at funeral for Iranian military commanders and scientists

Thousands of people have taken to the streets in Tehran to mourn top military commanders, nuclear scientists and others killed in Iran’s 12-day war with Israel.

Iran’s state-run Press TV said the event – dubbed the “funeral procession of the Martyrs of Power” – was held for a total of 60 people, including four women and four children.

Follow live: Iran hits out at Trump’s ‘unacceptable’ remarks

It said at least 16 scientists and 10 senior commanders were among the dead, including the head of the Revolutionary Guard General Hossein Salami and the head of the guard’s ballistic missile programme, General Amir Ali Hajizadeh.

Their coffins were driven on trucks into the Iranian capital’s Azadi Square adorned with their pictures as well as rose petals and flowers, as crowds waved Iranian flags.

Mourners dressed in black. Pic: Majid Asgaripour/WANA/Reuters
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Mourners at the funeral procession in Tehran. Pic: Majid Asgaripour/WANA/Reuters

Mourners dressed in black, while chants of “death to America” and “death to Israel” could be heard.

Attending the funeral were Iranian President Masoud Pezeshkian and other senior figures, including Ali Shamkhani who was seriously wounded during the conflict and is an adviser to Iran‘s Supreme Leader Ayatollah Ali Khamenei.

There was no immediate sign of the supreme leader in the state broadcast of the funeral.

A woman holds a picture of Iran's Supreme Leader Ayatollah Ali Khamenei as she attends the funeral procession in Tehran.
Pic: Reuters
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A woman holds a picture of Iran’s supreme leader. Pic: Reuters

Israel, the only Middle Eastern country widely believed to have nuclear weapons, said its war against Iran aimed to prevent Tehran from developing its own nuclear weapons.

The US launched strikes on three nuclear enrichment sites in Iran, which Donald Trump said left them “obilterated”.

The Iranian government denies having a nuclear weapons programme and the UN nuclear watchdog, which carries out inspections in Iran, has said it has “no credible indication” of an active, coordinated weapons programme in the country.

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New details on US attacks on Iran

Over the almost two weeks of fighting, Israel claimed it killed around 30 Iranian commanders and 11 nuclear scientists, before a ceasefire went into effect on Tuesday.

Read more from Sky News:
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According to Iranian health ministry figures, 610 people were killed on the Iranian side, 13 of whom were children and 49 were women.

Israel’s health ministry said 28 people were killed in Israel and 3,238 injured.

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Why critics believe Trump’s big win in Supreme Court is ‘terrifying step towards authoritarianism’

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Why critics believe Trump's big win in Supreme Court is 'terrifying step towards authoritarianism'

As the president himself said, this was a “giant” of a decision – a significant moment to end a week of whiplash-inducing news.

The decision by the US Supreme Court is a big win for President Donald Trump.

By a majority of 6-3, the highest court in the land has ruled that federal judges have been overreaching in their authority by blocking or freezing the executive orders issued by the president.

Over the last few months, a series of presidential actions by Trump have been blocked by injunctions issued by federal district judges.

The federal judges, branded “radical leftist lunatics” by the president, have ruled on numerous individual cases, most involving immigration.

They have then applied their rulings as nationwide injunctions – thus blocking the Trump administration’s policies.

Donald Trump addresses a White House news conference. Pic: AP
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Donald Trump addresses a White House news conference. Pic: AP

“It was a grave threat to democracy frankly,” the president said at a hastily arranged news conference in the White House briefing room.

“Instead of merely ruling on the immediate case before them, these judges have attempted to dictate the law for the entire nation,” he said.

In simple terms, this ruling – from a Supreme Court weighted towards conservative judges – frees up the president to push on with his agenda, less opposed by the courts.

“This is such a big day,” the president said.

“It gives power back to people that should have it, including Congress, including the presidency, and it only takes bad power away from judges. It takes bad power, sick power and unfair power.

“And it’s really going to be… a very monumental decision.”

Supreme Court is seen on Capitol Hill in Washington DC
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The Supreme Court on Capitol Hill in Washington DC. File pic: AP

The country’s most senior member of the Democratic Party was to the point with his reaction to the ruling.

Senate minority leader Chuck Schumer called it “an unprecedented and terrifying step toward authoritarianism, a grave danger to our democracy, and a predictable move from this extremist MAGA court”.

In a statement, Schumer wrote: “By weakening the power of district courts to check the presidency, the court is not defending the constitution – it’s defacing it.

“This ruling hands Donald Trump yet another green light in his crusade to unravel the foundations of American democracy.”

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Trump’s ‘giant’ Supreme Court win

Federal power in the US is, constitutionally, split equally between the three branches of government – the executive branch (the presidency), the legislative branch (Congress) and the judiciary (the Supreme Court and other federal courts).

They are designed to ensure a separation of power and to ensure that no single branch becomes too powerful.

This ruling was prompted by a case brought over an executive order issued by President Trump on his inauguration day to end birthright citizenship – that constitutional right to be an American citizen if born here.

A federal judge froze the decision, ruling it to be in defiance of the 14th amendment of the constitution.

The Supreme Court has deferred its judgment on this particular case, instead ruling more broadly on the powers of the federal judges.

The court was divided along ideological lines, with conservatives in the majority and liberals in dissent.

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In her dissent, liberal Justice Ketanji Brown Jackson wrote: “​​As I understand the concern, in this clash over the respective powers of two coordinate branches of government, the majority sees a power grab – but not by a presumably lawless executive choosing to act in a manner that flouts the plain text of the constitution.

“Instead, to the majority, the power-hungry actors are… (wait for it)… the district courts.”

Another liberal Justice, Sonia Sotomayor, described the majority ruling by her fellow justices as: “Nothing less than an open invitation for the government to bypass the constitution.”

Conservative Justice Amy Coney Barrett, who Trump appointed during his first term, shifting the balance of left-right power in the court, led this particular ruling.

Writing for the majority, she said: “When a court concludes that the executive branch has acted unlawfully, the answer is not for the court to exceed its power, too.”

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The focus now for those who deplore this decision will be to apply ‘class action’ – to file lawsuits on behalf of a large group of people rather than applying a single case to the whole nation.

There is no question though that the president and his team will feel significantly emboldened to push through their policy agenda with fewer blocks and barriers.

Read more from Sky News:
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‘Life-changing’ drug for teenager who lost mother to genetic condition

The ruling ends a giddy week for the president.

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What’s behind the row on Trump’s Iran strikes?

Last Saturday he ordered the US military to bomb Iran’s nuclear sites. Within two days he had forced both Israel and Iran to a ceasefire.

By mid-week he was in The Hague for the NATO summit where the alliance members had agreed to his defence spending demands.

At an Oval Office event late on Friday, where he presided over the signing of a peace agreement between the Democratic Republic of Congo and Rwanda, he also hinted at a possible ceasefire “within a week” in Gaza.

A truly consequential week seems set to be followed by another.

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