It is much more than a battle over vaccines in the United States.
It has become a proxy war about trust, freedom, and the role of government in public health.
The debate about childhood immunisations, once a matter of bipartisan consensus, is now a defining clash between federal government, state leadership and the medical community.
At the centre of it is the federal government’s sharp policy shift under US health secretary Robert F Kennedy Jr.
He has rolled back vaccine recommendations and reshaped advisory committees with sceptics.
States have responded along ideological lines – Florida planning to abolish all vaccine mandates; California, Oregon, and Washington forming a “Health Alliance” to safeguard them.
The western states felt they had to act when the head of the agency tasked with disease prevention was sacked.
Image: Robert F. Kennedy Jr appears before the Senate Finance Committee on Thursday. Pic: AP
Image: Senator Elizabeth Warren speaks at the hearing. Pic: AP
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2:10
Is US politics fuelling a deadly measles outbreak?
Jab mandates compared to ‘slavery’
Several senior figures at the Centers for Disease Control and Prevention have resigned since Susan Monarez was removed.
The turmoil in public health has led to a fragmented system where Americans’ access to vaccines and the rules governing them, largely depend on where they live.
Likening vaccine mandates to “slavery”, Florida’s surgeon general Joseph Ladapo said the government had no right to dictate them.
“Your body is a gift from God. What you put into your body is because of your relationship with your body and your God,” he said.
It is a tug of war between collective responsibility or individual choice and one that will redefine public health in this nation.
The US is drastically cutting the number of refugees it will allow into the country to 7,500, and giving priority to white South Africans.
The new figure, announced on Thursday in a memo in the Federal Registry, the official journal of the US administration, is a dramatic reduction from last year’s 125,000, set by former president Joe Biden.
No reason was given for the decrease, but the note said the admission of the 7,500 refugees during the 2026 fiscal year was “justified by humanitarian concerns or is otherwise in the national interest”.
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1:50
Trump-Xi meeting: Three key takeaways
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6:44
Is Trump trying to topple Maduro?
The notice posted to the register’s website said the 7,500 admissions would “primarily” be allocated to Afrikaner South Africans and “other victims of illegal or unjust discrimination in their respective homelands”.
It is half the 15,000 total set for 2021 during Donald Trump’s first term in office at the height of the COVID pandemic, which reports said was the previous lowest refugee admissions cap.
Refugee rights groups were quick to condemn the proposal, with International Refugee Assistance Project (IRAP) president Sharif Aly, saying that by “privileging Afrikaners while continuing to ban thousands of refugees who have already been vetted and approved, the administration is once again politicising a humanitarian programme”.
Krish O’Mara Vignarajah, CEO of Global Refuge, said: “Concentrating the vast majority of admissions on one group undermines the programme’s purpose as well as its credibility.”
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Human Rights First president, Uzra Zeya, called it a “new low point” in US foreign policy, which will “further destabilise front-line states that host over two-thirds of the world’s nearly 43 million refugees, undermining US national security in tandem”.
Image: US President Donald Trump showed South Africa’s President Cyril Ramaphosa printed-out articles in the Oval Office. Pic: AP
In May, Mr Trump confronted South Africa’s President Cyril Ramaphosa in the White House, claiming white farmers in his nation were being killed and “persecuted”.
A video purporting to show burial sites for murdered white farmers was played but was later shown to be scenes from a 2020 protest in which the crosses represented farmers killed over multiple years.
The South African government has vehemently denied that Afrikaners and other white South Africans are being persecuted.
In January, the US president suspended the US Refugee Admissions Programme (USRAP) to, in his words, allow US authorities to prioritise national security and public safety.
During the Oval Office meeting, Mr Ramaphosa said only that he hoped that Trump officials would listen to South Africans about the issue, and later said he believed there is “doubt and disbelief about all this in [Mr Trump’s] head”.
Donald Trump has described crucial trade talks with Chinese President Xi Jinping as “amazing” – and says he will visit Beijing in April.
The leaders of the world’s two biggest economies met in South Korea as they tried to defuse growing tensions – with both countries imposing aggressive tariffs on exports since the president’s second term began.
Aboard Air Force One, Mr Trump confirmed tariffs on Chinese goods exported to the US will be reduced, which could prove much-needed relief to consumers.
It was also agreed that Beijing will work “hard” to stop fentanyl flowing into the US.
Semiconductor chips were another issue raised during their 100-minute meeting, but the president admitted certain issues weren’t discussed.
“On a scale of one to 10, the meeting with Xi was 12,” he told reporters en route back to the US.
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2:08
‘Their handshake was almost a bit awkward’
Xi a ‘tough negotiator’, says Trump
The talks conclude a whirlwind visit across Asia – with Mr Trump saying he was “too busy” to see Kim Jong Un.
However, the president said he would be willing to fly back to see the North Korean leader, with a view to discussing denuclearisation.
Mr Trump had predicted negotiations with his Chinese counterpart would last for three or four hours – but their meeting ended in less than two.
The pair shook hands before the summit, with the US president quipping: “He’s a tough negotiator – and that’s not good!”
It marks the first face-to-face meeting between both men since 2019 – back in Mr Trump’s first term.
Image: Donald Trump and Xi Jinping. Pic: AP
There were signs that Beijing had extended an olive branch to Washington ahead of the talks, with confirmation China will start buying US soybeans again.
American farmers have been feeling the pinch since China stopped making purchases earlier this year – not least because the country was their biggest overseas market.
Chinese stocks reached a 10-year high early on Thursday as investors digested their meeting, with the yuan rallying to a one-year high against the US dollar.
Analysis: A fascinating power play
Sky News Asia correspondent Helen-Ann Smith – who is in Busan where the talks took place – said it was fascinating to see the power play between both world leaders.
She said: “Trump moved quickly to dominate the space – leaning in, doing all the talking, even responding very briefly to a few thrown questions.
“That didn’t draw so much as an eyebrow raise from his counterpart, who was totally inscrutable. Xi does not like or respond well to unscripted moments, Trump lives for them.”
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2:43
Will Trump really run for a third term?
On Truth Social, Mr Trump had described the summit as a gathering of the “G2” – a nod to America and China’s status as the world’s two biggest economies.
While en route to see President Xi, he also revealed that the US “Department of War” has now been ordered to start testing nuclear weapons for the first time since 1992.
Some of the world’s biggest tech giants reported quarterly earnings on Wednesday – with a mixed bag of results as fears grow that a bubble is forming in artificial intelligence.
Microsoft revealed that its spending on AI infrastructure hit almost $35bn (£26.5bn) in the three months to the end of September, a sharp rise compared with the year before.
Despite revenue jumping 18% and net income rising 12%, shares plunged by close to 4% in after-hours trading, with investors concerned about the mounting costs of sustaining the boom.
Image: Microsoft is now a $4trn company thanks to its stake in ChatGPT maker OpenAI. AP file pic
Microsoft’s vice president of investor relations Jonathan Neilson said: “We continue to see demand which exceeds the capacity we have available.
“Our capital expenditure strategy remains unchanged in that we build against the demand signal we’re seeing.”
Big Tech is facing increasing pressure to show returns on the massive AI investments they’re making, against a backdrop of soaring valuations and limited evidence of productivity gains.
Microsoft became the world’s second most valuable company this week thanks to its 27% stake in OpenAI, the creator of ChatGPT.
Its market capitalisation surged beyond $4trn (£3trn) at one point, but that psychologically significant threshold is now in doubt because of recent selloffs.
Image: iStock file pic
Alphabet makes history
Last night’s results weren’t all doom and gloom – with shares in Google’s parent company surging by 6% in after-hours trading.
Alphabet has also set out aggressive spending ambitions, but placated investors thanks to an impressive set of results that surpassed analysts’ expectations.
Total revenue for the quarter stood at a staggering $102.35bn (£77bn), with the search giant’s advertising unit remaining robust despite growing competition.
But concerns linger that Alphabet’s dominance in search could be undermined by AI startups, with OpenAI recently unveiling a browser designed to rival Google Chrome.
Hargreaves Lansdown’s senior equity analyst Matt Britzman shrugged off this threat – and believes the company is “gearing up for long-term AI leadership”.
He said: “Alphabet just delivered its first-ever $100bn quarter, silencing the doubters with standout performances in both Search and Cloud.
“AI Overviews and AI Mode are clearly resonating with users, helping to ease fears that Google’s core search business is under threat from generative AI.
“With ChatGPT’s recent browser demo falling short of a game-changer, Google looks well-placed to put up a strong defence as gatekeeper to the internet.”
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1:16
Browser could ‘change the way we use the internet’
Meta faces a mauling
Meta – the parent company of Facebook, Instagram, and WhatsApp – saw its shares tumble by as much as 10% in after-hours trading.
Mark Zuckerberg’s tech empire anticipates “notably larger” capital expenses next year as it ramps up investments in AI and goes on a hiring spree for top talent.
Net income in the third quarter stood at $2.7bn (£2bn) and suffered an eye-watering $16bn (£12bn) hit because of Donald Trump’s “Big Beautiful Bill”.
Meta was late to the party on AI but has now doubled down on this still-nascent technology – setting an ambition to achieve superintelligence, a milestone where machines could theoretically outthink humans.
The social networking giant continues to benefit from its massive user base, and expects fourth-quarter revenues of up to $59bn (£44bn).