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Squawk Pod Episode Notes: Elizabeth Warren Grills Jay Powell & Scott Gottlieb on Vaccine Future (6/26/25)
Episode Overview In this episode of *Squawk Pod*, Senator Elizabeth Warren and Dr. Scott Gottlieb discuss critical issues surrounding the Federal Reserve's monetary policy and the future of vaccine regulation amidst ongoing debates about economic policy and health.
Key Guests
- Senator Elizabeth Warren (D-Mass.)
- Dr. Scott Gottlieb, Former FDA Commissioner
Main Topics
- Federal Reserve's Monetary Policy
- Pressure from President Trump: Discussion on Trump's influence over Fed Chair Jay Powell's decisions, particularly regarding interest rates.
- Elizabeth Warren's Position:
- Advocates for lower interest rates, attributing current economic chaos to Trump's tariffs and policies.
- Critiques Powell for not lowering rates earlier due to uncertainty created by Trump's administration.
Key Quotes
- *“Markets without rules are just theft.”* - Elizabeth Warren
- *“It is harder than it would be if Donald Trump were not out there creating this kind of economic chaos.”* - Elizabeth Warren on the challenges facing the Fed.
- Vaccine Policy Changes
- Robert F. Kennedy Jr.'s New Vaccine Advisory Panel: The newly appointed panel's potential impact on vaccine policy.
- Scott Gottlieb's Insights:
- Warns about the anti-vaccine sentiment being fueled by the panel's makeup.
- Emphasizes the importance of the immunization schedule and the risks of rolling back established vaccine standards.
Key Points from Dr. Gottlieb
- The panel includes members with anti-vaccine views, which may influence recommendations negatively.
- Potential future discussions on controversial vaccine ingredients (like thimerosal and alum) could affect vaccine availability and public health.
- Economic Outlook and Political Debate
- Economic Indicators: The Fed’s shifting predictions on inflation and GDP growth, noted by Warren as deteriorating under the influence of Trump's fiscal policies.
- Political Dynamics: Discussions on the Democratic Party's approach to economic policy and potential future directions, including spending cuts and investments in social programs.
Key Quotes
- *“Senator Warren argues that Powell's hesitation to lower rates is directly linked to Trump's tariffs creating economic uncertainty.”*
- *“We need to invest more in child care to increase productivity and support working families.”* - Elizabeth Warren on her vision for economic growth.
- Trump’s Legal and Financial Issues
- Update on Trump's ongoing legal battles, particularly a $20 million settlement proposal regarding a lawsuit over a CBS interview.
Key Takeaways
- Economic Policy: There is significant tension between Trump’s approach to economic growth through deregulation and tariffs and the Democrats' focus on stability and public investment.
- Health Policy: The conversation underscores a growing concern about vaccine misinformation and its impact on public health, particularly as it relates to the new panel convened by Kennedy.
- Political Strategy: Warren's arguments suggest a focus on policies that prioritize family welfare and equitable economic growth in contrast to Republican strategies perceived as favoring the ultra-wealthy.
Conclusion The episode highlights the intersecting issues of economic policy, public health, and political strategy, with strong implications for both current governance and future electoral battles. As the podcast concludes, the focus remains on how these discussions will shape policy and public opinion moving forward.
Listen to the Episode For more insights and detailed discussions, listen to the full episode on [Squawk Pod](https://www.cnbc.com/squawk-pod).
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Transcript
Automatic transcript. May contain errors.0:00Bring in show music please. Today on Squawk Pod. Senator Elizabeth Warren. You don't have to push me. I believe in markets. I love markets. I think markets are fabulous when they're honest markets. We need markets with rules. Markets without rules are just theft. Her perspective on President Trump's critique of Fed Chair Jay Powell and on President Trump's economic policy. I still want to see the interest rates come down. I think they should lower. It is harder than it would be if Donald Trump were not out there creating this kind of economic chaos. And as RFK Jr.'s new vaccine advisory panel to the CDC continues its first meeting, former FDA Commissioner Scott Gottlieb explains the weight on their shoulders and what's at stake for the country.
0:55Look, these are individuals who've been unabashed about their anti-vaccine views. for the most part, the members who've been appointed. So most of them. Plus, could crypto mortgages be in our future? And negotiations on the table for President Trump's 60 Minutes lawsuit against Paramount. FCC Chairman Brendan Carr has said that the third-party complaint about the interviews edit could factor into that agency's review of the Paramount Skydance merger. I'm CNBC producer Zach Valisi. It's Thursday, June 26th. Squawk Pod begins right now. Stand Becky by in 3, 2, 1, cue, please. Good morning, everybody.
1:40Welcome to Squawk Box here on CNBC. We're live from the NASDAQ market site in Times Square. I'm Becky Quick along with Joe Kernan. Andrew is out today. Yesterday was a mixed day for the market. You saw the Dow down slightly, the S &P basically flat. The NASDAQ was higher. The Nasdaq 100 climbed to another record high yesterday. It's now up more than 4 % for the month of June. And if you're wondering what's powering all that, take a look at the companies closing at record highs in yesterday's session. NVIDIA back at a record high. And by the way, it is now the most valuable company once again, reclaiming that spot after January.
2:16Remember, in January, the stock dipped pretty deeply after those reports of DeepSeek and China. No wonder what was when people wondering what was going to happen with that. Well, now it's back on top. Cisco, IBM, Netflix, Broadcom, Microsoft, Oracle and Palantir all closing at record highs yesterday.
2:37You got elected by one person. He doesn't want you to be in that job. And you are costing this government 400 billion dollars a year by refusing to lower interest rates. Nobody in this chamber has that kind of power to have a 400 billion dollar impact on this economy. We will balance our maximum employment and price stability mandates, keeping in mind that without price stability, we cannot achieve the long periods of strong labor market conditions that benefit all Americans. For the time being, we are well positioned to wait to learn more about the likely course of the economy before considering any adjustments to our policy rate.
3:13And a new report from The Wall Street Journal says President Trump considering naming the next Fed chair as soon as this summer. It is this summer. The report says that the Trump today, Trump's ire with Jay Powell is stepping up the timeline. Naming a new chair would allow Powell's successor to influence investor expectations about the likely path for rates and attempt to steer monetary policy before his term ends in May. The report says Trump is considering these people, former Fed Governor Kevin Warsh, NEC Director Kevin Hassett. Other contenders include Treasury Secretary Scott Bessent, economist David Malpass, friend of the show, and Fed Governor Christopher Waller.
4:00Most of them are friends of the show. Yeah, most of them. If you look through that list, in fact, all of them. That's right. Waller, have we? I think Waller. Yeah, we had him on Friday. Friday, yeah. So everybody's been on. I wanted to talk to him. We just talked to Steve. Maybe he'll be on. Pass it, certainly. And Treasury Secretary Besson. Here's what the president said at the NATO summit yesterday about the next Fed chair. I know within three or four people who are going to pick. I mean, he goes out pretty soon, fortunately, because I think he's terrible. The dollar continuing to slide. It's at about 10 percent this year.
4:36By the way, watching Powell's testimony over the last couple of sessions, I mean, he comports himself with grace, with dignity. I have to say, you know, he may not be doing what the president wants, but he's doing what he thinks is best right now. And I don't, you know, to have the president saying this stuff about Joe and Lloyd. I think he's gotten more, I think it's getting to him. I think he's gotten more dovish. I think he's at least thrown it. Not really. What he said the last two days before Congress is. Rightfully so, he's gotten more dovish, I think. Oh, right. Just the idea that he's more open to the idea of cutting.
5:08Right. That's certainly what he's done over the last couple of days. You know, it happened the other time where I don't know whether Trump was right based on anything other than he likes low interest rates and he's a real estate guy. But eventually, you know, if you wait long enough, obviously, the rates go up, rates come down. But Trump could have said I was right last time and he probably is going to be in a position to say it again this time. Maybe not. Probably the frustration point is that J-PAL said pretty publicly at these hearings over the last couple of days that he would cut rates right now if it weren't for the questions about what's going to happen from potential inflation from the tariffs.
5:45That's the whole key. But we've been waiting, waiting, waiting, waiting, waiting. And oil's back down to 64. Right, but it's like last week. It's just you understand. It's like for three days. I know, but you understand why they want to wait and see what happens. Only because he got so butthurt by staying easy for too long. They're so worried about and they're so phobic about. You watch him and I've been impressed with the grace that he has made. I look at it. I don't really look at it as great. I kind of look as sort of he could end up being right. But if he's not, it looks like at this point he's hearing the criticism and maybe even resisting people like Waller, Austin Goldsby, when maybe he shouldn't be.
6:25He just, you know, that's where political pressure can work in an encounter in a counter. Where he can't possibly just because. Right. But when he said last time, hey, look, OK, I admit that inflation numbers have been lower than we thought in the tariff effects. We haven't really seen what many people thought we would have seen by now. We still expect them to come. So I'm still hesitant to cut. But I do acknowledge that if we look through those cuts could be appropriate. If you talk to retailers, and again, maybe they're talking their book, too. But if you talk to retailers, they will say that prices are going to have to go up at some point, that they're doing everything they can behind the scenes to keep them down.
7:03But does that point? It's got to. Is it inflation? If it's a one time move, Waller said it's one time. And yeah, who knows? But, you know, the 90 day pauses and stuff that if if he comes, if we don't do deals and he and the president does say, OK, we're back on. and start bringing some of these high tariff numbers back or threatening, that could happen. People thought that they were going to have a much bigger impact if they were as bad as he is. On inflation and on growth. And on trade, right. Mediator is proposing that President Trump and Paramount Global settle a pending lawsuit. Settle it for$20 million.
7:43This is the Wall Street Journal reporting this. President Trump sued the company over a 60 Minutes interview on CBS with former Vice President Kamala Harris, accusing the network of editing the footage to make her sound better. Trump's team has said at once an apology and has been pushing for twenty five million dollars. The Journal reports that Paramount doesn't want to apologize and is offering 15 million dollars to settle the suit. But FCC Chairman Brendan Carr has said that the third-party complaint about the interview's edit could factor into that agency's review of the Paramount Skydance merger.
8:27Five million, a little difference and a little, I'm sorry, if you get the deal done. I don't know. Andrew would be having a heart attack about the lawyers. It's weird for the FCC Chairman to say that this is going to factor into it. Right. But it's, you know, we suspected that before. But to actually say that, it was like. You can make a case for it, though, on normal grounds. But you shouldn't be allowed to complete a merger because we don't like something you did on six months. You should clean up your act if you want to. I mean, that wasn't the only one. Playing it out. You remember Leslie Stahl when she said, we know the laptop.
9:06Letting that play out, the president sued them. And that case can go forward in the courts and figure out what you want to do with that. But to say you can't have a merger because I don't like something to work for? So you say it out loud versus knowing that it's probably de facto what's going on. Yeah. To make it normal and say that this is the way things work, that's not great. To normalize the idea of if I don't like this, we're not going to do it. Same goes with Harvard and Columbia and everything else. Just to imply that it's one thing, but when, in fact, it's after years and years and years of what I think is inexcusable behavior and hiring and admittance and everything else.
9:41Yeah, I know. It's just that we like to think that these agencies are, and I guess we know they aren't, if you look at some of the agencies and how they've been, they're political appointees that lead these agencies. But you watch what the swings have been with the FTC. I don't think it's about just free speech, though. I think it's about unfair. That's what I mean. It's not about free speech. It's about, I don't like the way you're reporting it. What I'm saying is I don't think that the 60 minutes is that they're arguing that they should have had free speech. I think they were doing behavior that shouldn't be allowed in terms of the way you present, especially during an election, the way you're presenting information.
10:20But 60 Minutes, that's their... Yeah, it's their... I mean, that's their... In their DNA. I could say there's a lot of different organizations that have DNA that goes one way or the other. All mainstream media. Yeah, all mainstream media. One way or another. The Federal Housing Finance Agency taking a landmark step to recognize cryptocurrency. It's directing Fannie Mae and Freddie Mac to formally consider crypto assets and single family mortgage loan risk assessments. Those home finance giants have to now develop proposals, including on digital assets, without requiring borrowers to liquidate them into U.S.
10:57dollars before they'll have that loan close. Crypto has historically been excluded from underwriting frameworks because of the volatility, regulatory uncertainty, and the inability to easily verify holdings. But as we heard yesterday from Philippe Lafont, the volatility is basically in line with the NASDAQ at this point, at least as of April of this year. Regulatory structures are coming into play, and hopefully you can make it easier to prove your holdings as well. Yeah. Speaking of Philippe Lafont, I saw some people on Twitter, Who is it? You're acting like this guy is a second coming. Who is this guy?
11:35I've never heard of it. Started in 1999 with like, I don't know, millions. Yeah. Now it's at fifty five billion with and across the board with private investment, all kinds of sort of uniquely structured. It is a Tiger Cup and uniquely structured investments. Twelve and a half percent per year if you go to the main fund all this time. But in recent years, more like 35, 40, 45 percent in some of these tech stocks and up to up to. So he's he's too young to be a legend. That's why when we said that yesterday. But he's too. But for people that don't know him, you know, I mean, I thought it was kind of fascinating where he was talking about how he owns.
12:19You know, he's invested in some of Elon Musk's companies and some of Sam Altman's companies and some of Microsoft. And you have all of those titans that are kind of like fighting it out right now about different things and who's going to be on top of it. Cheese will be next. Next on Squawk Pod, Senator Elizabeth Warren weighs in on the critiques of Fed Chair Jay Powell and on America's economic future. I want to see those interest rates come down, but it's Donald Trump who's standing in the way of getting them down by creating more economic chaos. Because Chairman Powell said that they would have lowered interest rates back in February, but for the chaos caused by Donald Trump's tariff announcements.
13:07We'll be right back.
13:13This is Squawk Pod. Stand by Joe. His mic here. You're watching Squawk Pods on CNBC. I'm Joe Kernan along with Becky Quick. Andrew is off today. Thank you, Mr. Chairman. Thank you, Mr. Chairman. Thank you. So, Chair Powell, if certain policies would materially drive up the national debt and increase the debt to GDP ratio over time, could that make it more likely that we would see inflation all else being equal? I mean, theoretically, sure, fiscal policy can can add to inflation. But that's again, that's really not something we comment on. We try to stay away from fiscal policy. I understand you don't comment on it, but I do appreciate your acknowledgement of the math here.
13:58Fed Chair Jay Powell faced two days of grilling on Capitol Hill. Yesterday, Senator Elizabeth Warren asked why the Fed's inflation forecast is now higher than it was just six months ago. Senator Warren joins us this morning. She's the lead Democrat on the Banking Committee. And Senator, thank you for being with us this morning. Happy to be with you. Why don't we get at your line of questioning from yesterday? You were really getting at this idea of where inflation targets for the Fed are headed. What's your thought behind that? What did you think of the answer you got? So I just want to make sure everyone knows what the numbers were that the Fed put out.
14:33The Fed changed its prediction from inflation this year at 2.5 % to 3.1%. It changed its prediction on unemployment, not a lot, but from 4.3 % to 4.5%, and most significantly changed its prediction on GDP growth from 2.1 to 1.4. Pretty significant downgrade. So I asked Chairman Powell, what happened? And the answer from Chairman Powell was the Trump tariffs. And I read that as it's the Trump tariffs, it's the Trump chaos. And that's the problem we've got right now. I want to see those interest rates come down. But it's Donald Trump who's standing in the way of getting them down by creating more economic chaos.
15:26And how do we know that? Because Chairman Powell said that they would have lowered interest rates back in February, but for the chaos caused by Donald Trump's tariff announcements. You know, Senator Worm, I understand your concerns around this. And certainly there are a lot of economists who look at this and worry about what happens, the impacts that we have yet to see from the tariffs. They haven't materialized yet. But I don't think you always think that Jay Powell is the expert on these things. I mean, I think back to 2022, when you were very concerned about what Powell was doing at that point, the Federal Reserve raising rates, thinking that, hey, it's an ineffective cure, I think, were your words, in terms of higher rates being able to end inflation.
16:13Yep. And that's where I've been all along. I want to see the interest rates come down. And think about why. Because those interest rates come down. If they don't, that means families are paying more on their mortgages. They're paying more on their car loans. They're paying more on their credit cards. Those high interest rates are keeping costs up for families. For three years Now, I've been pushing to try to get those interest rates now. And Powell now says I would have lowered them, he said, in February. But the Trump chaos has now changed the economic outlook. And the Fed's data do show that the economic outlook has shifted.
16:58I guess my point is, though, you you agree with Chairman Powell on these issues or you think he should go ahead and cut rates anyway? Because that's what the president thinks. Look, I still want to see the interest rates come down. I think they should lower. I want to see those interest rates come down. I do understand that conditions have changed and that Chair Powell says it is now harder to lower the interest rates than it would have been earlier. It is harder than it would be if Donald Trump were not out there creating this kind of economic chaos. And, you know, I just want to push back when you say there haven't been any effects from Donald Trump's announcements about the tariffs.
17:45Of course there have been. I'm sorry, the inflationary. We haven't seen the inflationary effects that people have been predicting pretty widely. We just haven't seen them show up yet. But what we are seeing is that all across the country, people are saying, whoa, I'm not going to start breaking ground on a new factory. I'm not going to buy a whole lot of expensive new equipment. I'm not going to bring in new workers to train up a workforce for new product lines. I'm not going to start a new business because I can't figure out in the most fundamental way whether or not materials that I have to import are going to be kind of at one price or going to have a big, big tariff put on them.
18:30And I can't figure out on things I want to export whether or not there's going to be a reciprocal tariff on them. And as a result, what we get is an enormous amount of holding back. And I think that's why you see the shift in the GDP projections. That's a shrinking of the economy that we're experiencing now, because independently across this country, big companies and small companies are saying, man, I'm not taking a risk. I'm not making a big investment into that kind of an uncertainty. And who is causing all that? One person, Donald Trump. We're going to get a GDP number, I think, today. And when you say shrinking, you don't mean the economy shrinking.
19:16You mean the rate of growth. I'm sorry. You said it the right way. I know that you, Senator, and a lot of Democrats really don't like this bill, the big, beautiful bill. And in fact, there's schisms even in the Republican Party that you hear. A lot of it has to do with spending by the federal government. And here's where I want to ask you just a philosophical question. And I'm going to, it won't take me that long. I'm going to stop and then I'm going to let you answer. But back in, prior to the pandemic, I guess we were spending 25 % less than we're spending now. And in 2024, I think it was$7 trillion.
19:56So as a percentage of GDP, it's now 24 percent of GDP federal spending versus 20 percent in 2019. You would like to increase revenues through taxes on the wealthy, maybe not extending the Bush. I'm sorry, the Trump tax cuts. We had Bush tax cuts, too, that I used to say. Would you if you did get a lot of growth in revenue that you would like to do with all these different ways, would you use that for just more government spending at 24 percent of GDP? Or would you say, you know what, let's at least freeze federal spending or or even cut federal spending to get it back down to 20 percent of GDP?
20:41Would that ever be possible? So let me start with where we should make cuts. You may remember back in January when Elon Musk was going to head up Doge. I sent him a letter and I said, here's here's two billion dollars that you can do, two trillion dollars that you can do in cuts right now. It's make the right cuts. And what were those cuts? How about we stop the fraud around Medicare Advantage? That would be about eight hundred and fifty billion dollars that we could save. How about if we change how Defense Department does a lot of its spending and its acquisition? We can save hundreds of billions of dollars there.
21:26And I went through a list. The list had about 30 items on it and said, here are places that we could cut spending by$2 trillion. I'm totally in favor of that. But let me do the other half as well. There are places where we spend money that actually help grow this economy. Right now, the United States is 35th out of the 37 richest nations in the world, 35th on what we spend on child care. And the consequence of our underspending and not making child care available is that a lot of mamas and daddies either struggle to find that child care and get to work or don't work at all. If we spent more money on child care, we would increase productivity in this country.
22:12We'd have more mamas and daddies at work. We'd have our babies well taken care of. And we could pay a living wage to the child care workers who do this critical work and who could really turn that into a sustainable business model. There's an investment that you can use to grow GDP. So for me, it's about budgets. Sure, they're about numbers, but they're about values. Do you really think that we ought to be continuing to spend money on defense acquisition that is just incredibly wasteful? Or do you think, as the Republicans do, we should stop spending money on health care for 16 million Americans?
22:58That's what the Republicans want to do. Do you think, as the Republicans do, we should do trillions of dollars in tax cuts for millionaires and billionaires? Or do you think that we should make those investments in our families here in the United States? And I think child care is a perfect example of a place where we should be spending more. We've got places we should spend less. But no matter what, the billionaires ought to be paying their fair share. I have another good one for you, and we'll do it the same way. I'll finish and then I'll let you completely answer. So you've heard about soul searching in the Democratic Party, a lot of hand wringing with what we've seen since the election in the Democratic circles as well.
23:45the term lost in the wilderness comes to mind. I don't know whether we had a primary election for the mayor in New York yesterday, two days ago. Candidate Mamdami is a self-proclaimed socialist advocated for defunding the police, globalizing the intifada. We have Representative Alexandria Ocasio-Cortez leading the field for 2028. I'm just wondering whether, well, A, did you speak out for or against the mayoral candidate? Did you congratulate him? And do you think this is the best strategy for your party right now to lurch even further to the far left after what happened in the last election? You know, I think you're wrong on the whole defund the police and all, But look, I know that this is something that conservatives want to keep raising over and over.
24:42But but I want to make a different point here. I think you misunderstand what his campaign was all about. His campaign was saying, I want to invest in New York City. I want to invest in people being able to have good jobs here, to put their kids in school and to build housing. And he built a grassroots campaign. He didn't have a billionaire. who came in and funded him. He didn't say, I'm going to make this a great place for billionaires to live. He said, I'm going to try as hard as I can to make New York City a place that works better for your family. And you know what? New Yorkers heard him. They believed him.
25:27They were inspired by him. And I think that's exactly what we should be doing. We should be, as the Democratic Party, the party that makes it clear that we are here for working families. We want to reduce the cost of housing. We want child care. We want our kids to be able to get a good education. The Republicans right now with this tax bill that they're trying to push through are really showing the contrast. They think they should be able to pay for tax giveaways to billionaires by taking away health care from 16 million Americans. They don't want to make investments in child care. They don't want to make investments in housing.
26:10They want to take away clean energy credits, which will drive up the cost of utilities for families all across this country. There is nothing in this Republican proposal that's about centering families and trying to make this economy work for them instead of for a handful of billionaires. And I think that's a pretty good place for the Democratic Party to go. Senator, just back to Mom Donnie. He has some pretty argumentative views that a lot of people have disagreed with. There is some old footage of him saying that if Benjamin Netanyahu were to arrive in New York City, he'd have him arrested. Do you agree with that?
26:48Look, I can't speak for him. I can only speak for myself. Yeah. And what I'm saying is the key that we talk about and need to keep talking about is the economy for American families. And that, in my view, is exactly what this race was about. What are your thoughts on Netanyahu? Because these are some of the feelings that... Netanyahu has been here. Nobody arrested him. What happens, though, what is happening, though, is that families across this country are struggling. And the response of the Republicans right now in Congress, we will be voting today. Today, the response of the Republicans is let's take health care away from 16 million Americans so they can do tax giveaways to billionaires.
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27:33I don't think that reflects American values. Now I have to interrupt. Now I'm doing what I said I wasn't going to do. But Senator, we don't have a lot of time. Do you think he's a socialist? He's a self-avowed socialist. Do you think socialism is the correct path to do what you just said you wanted to do for working Americans? Do you do? I mean, that's what he is. Let's just talk about. And we're the center of the universe for capitalism in New York City and Wall Street, whether you love it or hate it. I know it has a connotation in certain areas, but it's the financial engine for all the great things that happen in the U.S.
28:12in terms of the private sector and raising money for companies and the stock market, all these great things that provide all the jobs. That's where you get the tax money to spend on all these great things you want to spend it on. Do you think that's the right thing for New York City? You don't have to push me. I believe in markets. I love markets. I think markets are fabulous when they're honest markets. As you know, because we've had these discussions before. For example, we need markets with rules. Markets without rules are just theft. And that's part of why we need strong antitrust enforcement.
28:49But what our new mayor, I hope will be mayor elect in New York City is talking about is how to make that economy work for families. Where where is your outrage over a Republican Party that is saying we want to fund even more tax giveaways to billionaires? billionaires. We want to make sure that Meta gets a check if this bill passes for$15 billion, not for anything they do in the future, but for investments they made three years ago. We want to give them a check for$15 billion while we take away health care from everyone else, while we drive up utility costs for everyone else. That's not how we build a strong economy.
29:40You believe in markets, then you should believe in participation by the employees so that they get some of the wealth that they help create. And part of that means that through government, we create opportunities, not just for the billionaires to be able to come in and help build these buildings, but also to the workers who help build them as well. That's what this whole fight is about. I want to thank you for joining us this morning, Senator. We appreciate it. Thank you. Next on Squawk Pod, the vaccine priorities of Health and Human Services Secretary Robert F. Kennedy Jr. His rebuilt from scratch immunization advisory panel is meeting.
30:23And former FDA Commissioner Dr. Scott Gottlieb says, watch the recommendations of this group closely. This is going to be a very long cycle. We've now built a lot of anti-vaccine sentiment. Secretary Kennedy is fueling that. The consequences of this are going to be felt for years.
30:44Welcome back to Squawk Pod. Good morning. I'm Dr. Martin Kulldorff, the chair of the Advisory Committee on Immunization practices, and I'm pleased to call today's ACIP meeting to order. The new members of the CDC Federal Advisory Committee on Immunization Practices will continue their first meeting later today. This group includes seven new appointed members, all put in place by the new Health and Human Services Secretary, Robert F. Kennedy Jr., who fired the previous panel of 17. Yesterday, the committee focused on childhood vaccines. But it's the unusual makeup and norm-shattering organization of this group by the secretary that is capturing attention.
31:29Their recommendations influence the official immunization schedule in the U.S., potential insurance coverage for vaccines, even the procurement of shots for children in need. The panel continues meeting today. And with more, I'll send it back to Becky Quick. And joining us now ahead of day two is former FDA Commissioner Dr. Scott Gottlieb, who served in the first Trump administration. He's a board member with Pfizer and Illumina and a CNBC contributor. And Dr. Gottlieb, thanks for being here. Thanks a lot. So walk us through what this means. There was a lot of fanfare when Robert F. Kennedy Jr.
32:07fired basically the 17 people who had been on that vaccine panel before. There are seven new members. What are we in for today? Well, there was eight, but one dropped out because they didn't want to sell his stock, so he couldn't get through the conflicts check. Look, these are individuals who've been unabashed about their anti-vaccine views, for the most part, the members who've been appointed. All of them? So, most of them. I mean, the ones who aren't, you know, sort of considered anti-vaxxers, I think, have been skeptical, at least of the COVID vaccine. They deferred a lot of the decisions, the controversial decisions, from day one to day two.
32:39So I think day two is when we're going to see some of those sentiments become manifest. And the two places they're focusing, I think, today is on the MMR vaccine, which is the measles, mumps, rubella, and varicella vaccine. So it's a combined chickenpox MMR vaccine, which has long been a bugaboo of the anti-vax movement because there's a small risk of seizures. That risk can be fully mitigated if parents check the temperature of children between day 5 and 14 and treat any fever above 100.5. There's sort of a delayed febrile reaction to that vaccine. Only about 10 % of kids get it. 10 % of kids get it?
33:11have wanted to bring this off the market. The other issue that's going to come up today is thimerosal, which is a preservative that used to be used in vaccines. It was largely taken out. I was just, I didn't think it was there. Right, so this happened when I was at FDA in the early 2000s. We pulled thimerosal out of the vaccines and moved from multi-dose vials where the preservative was to single-dose vials that didn't need a preservative. Largely because, not because we thought thimerosal was unsafe, but because there was so much speculation among the anti-vax movement that it was linked to autism, we felt we would never get out from under that cloud, so we reformulated those vaccines.
33:43But it's still in about 4 % of vaccines that get delivered in flu vaccines, mostly for adults. Most children do not receive a vaccine from the multidose vial, but certain clinics still use that multidose vial, about 4 % of the administered vaccines. They want to withdraw that from the market as well. The other issue that's going to come up, but I think it's been largely deferred to a subsequent meeting, is that there is a movement among the secretary, Kennedy, and others in the anti-vax movement to take alum out of vaccines. So alum is an aluminum salt. It's used in about seven different pediatric vaccines, including one by Pfizer as an adjuvant.
34:22So it helps stimulate an immune response. So they want to force manufacturers, I believe, to reformulate those vaccines. That would be a major issue because this is a very safe ingredient. It's been used for 70 years. There's really no alternative. And if they force manufacturers to have to reformulate all those pediatric vaccines, I think you'd see a lot of vaccines potentially come off the market because there is no good alternative. Meaning that they would no longer be effective? They wouldn't stimulate the immune? There is no good. The other adjuvants you could potentially use probably aren't as safe.
34:52But if you had to reformulate those vaccines, it would create a real dislocation in the market. That was supposed to be on the agenda for this meeting. They took it off. So I think they've deferred that discussion by and large. But I would expect it could come up today as well as a prelude to future meetings. So the MMR and varicella, the idea of treating a fever. First of all, I'll say I didn't realize that 10 percent of kids get a seizure reaction or a fever reaction. No. So 10 percent of kids get the MMR vaccine. So most kids who get vaccinated for measles, mumps and rubella get the MMR vaccine and a separate varicella vaccine.
35:26Largely because there is this small risk of febrile seizure associated with the combined vaccine. That risk, again, can be fully mitigated. Most parents wouldn't know to check temperature five to 14 days out. Having four kids, I've never heard that. It's a delayed febrile reaction. That's why some kids get in trouble because you get a fever at day 10. It doesn't get recognized, doesn't get treated, and then you can get into trouble. So the people in Kennedy's orbit have wanted to pull this vaccine off the market. It is on the agenda today. So I think they're either going to vote. If they pull it off the market, though, you would still be able to get those two vaccines separately, MMR and Varicella.
36:02Yeah, I think, you know, if you take a step back, look, if they pull the MMR vaccine, it's not going to have a dramatic impact on availability of vaccines. If they pull the multidose vial of the flu vaccine, like I said, it's only 4 percent of people who get that. But I think this is a prelude to them demonstrating their ability to go in with this committee now, make recommendations to pull some of these vaccines and force those decisions. And if they're able to do that here, it's setting up a decision around alum. Okay, I would say the ones you told me about today don't concern me as much because you'd be able to get those shots separately.
36:35I mean, I guess if you've got a five-year-old and you don't want to give them all the shots that you're supposed to be getting, you'd have to take two for the varicella without. It's the precedent because it's the idea of ACIP unilaterally acting to do this. These are typically decisions that would have been left to regulators to determine the safety and effectiveness. ACIP has the capacity to make recommendations about who should and shouldn't get these vaccines. but the fact that they're wading into these issues that have long been considered settled science particularly thimerosal i remember the back in the early 2000s the bugaboo was that thimerosal was linked to autism we took thimerosal out of the vaccine everything for children now they've moved to alum so now the arguments are well it must be the aluminum hydroxide so it just so they're just going to keep chipping away at what's in the vaccines right this is what causes autism that's that's what's been created over the last 10 15 years is you just move from one issue to the next.
37:26Give him a mouse a cookie. I wonder what you think. I mean, there was a Tyler Winklevoss had a post today on X or maybe last night. It was it was related to it was related to how do you follow your Bitcoin? What's happening in New York City with the mayor? And it's a strange thing for me to see the connection between the two. But he basically says, look, you have all of these young voters who don't realize what happens. They don't remember the crime in the cities in the 1980s and, you know, the squeegee guys and what happened before you had the crackdown on some of these things. So he thinks it's a bad idea for this mayor to get elected.
38:08But he says maybe it's what they need to see, a little bit of socialism to see what the outcome is and what that might mean for safety on the streets. And I wonder if it's the same story with vaccines. People forget what it was like to have measles run rampant. People forget what it was like. Even chickenpox, which you can survive. I mean, I had chickenpox as a kid. It's a bad disease. It's a bad disease. You don't want to see all of these childhood diseases that we have forgotten what they do. Yeah, you certainly don't want to see that happen, that there is a backlash to this anti-vax movement because we've seen the consequences of it, because a lot of people are going to be harmed in the process.
38:45But the problem is that these, you know, these sort of sentiments are have been fueled over a long period of time, certainly accelerated during covid. The mandates, I think, fueled a lot of the anti-vaccine backlash. And by the way, I remember you saying this during covid that you worried the way the administration was going about it at the time. Well, I was against the mandates. You were against the mandates. For this reason, we said it on this show that it would fuel an anti-vaccine backlash. And I think that was a tipping point of sorts. But the problem is this is going to be a very long cycle.
39:13We've now built a lot of anti-vaccine sentiment. Secretary Kennedy is fueling that with what he's doing in groups like the ACIP that he's constituted. The consequences of this are going to be felt for years. They're going to grow over time. We've seen MMR vaccination rates sharply declining. More than 50 percent of states are well below herd immunity. There was just a survey put out. Some states are below 70 percent. So they're going to have potentially outbreaks. So you are setting up a lot of risk for the future. Outbreaks for what? Measles. Measles. That's the one we worry about the most because it's so contagious and vaccination rates are falling.
39:46You don't want to see a situation where we learn our lessons from what's happening right now in five years as a result of outbreaks where kids were harmed. I hope that's not the case. The secretary himself, Secretary Kennedy, has said that the reason he is making these changes and wants to see them is that there is so much. So many questions about vaccines. He wants to be, in his words, I think, or to paraphrase his words, he wants to open things up and make sure that both sides are being explored. Do you think that's what's happening here? Look, he's been a motivated anti-vaxxer. I think he's been unabashed about this.
40:23And one of his close advisors said when he gets the keys to the kingdom and those are the words, he's not going to back away from his positions. He's been hardened in these views. I think he's setting up a litigation enterprise. I think that's what this is about. There's two members of the adcom who both served as expert witnesses in litigation against Merck, didn't disclose that as a potential conflict. We know we know the secretary had an interest in ongoing litigation, the Gardasil vaccine that he gifted to his son. So there's a very vast litigation enterprise. And if you start pulling out ingredients like dimerisol and alum and it's sort of an official sanction given to that, I think what he's setting up is to declare in his autism report in the fall that there's a link between alum and autism.
41:04I think that's where this is heading if I was to make a prediction. If he does that, that will open the door to litigation under the vaccine injury compensation program and create a whole wave of lawsuits that I think will drive a lot of vaccine makers out of the market. You could see companies. But he won't even stop them from doing it. He will do it through the lawsuits and that will make the companies say forget it. Well, he's always seen litigation as a tool to try to achieve his objectives. You could see companies, you know, people say can the companies get out of the manufacturing vaccines?
41:33they can certainly spin it out. And at a time when every other nation is trying to build up its vaccine enterprise and sees it as a national security imperative, we're dismantling ours in this country. Dr. Gottlieb, thank you. Thanks a lot. That's the pod for today. Thanks for listening. Squawk Box is hosted by Joe Kernan, Becky Quick, and Andrew Ross Sorkin. Tune in weekday mornings on CNBC at 6 Eastern. To get the smartest takes and analysis from our TV show right into your ears, follow Squawk Pod wherever you get your podcasts. We'll meet you back here tomorrow. We are clear. Thanks, guys.
From the publisher
President Trump continues to pressure Fed Chair Jay Powell to lower interest rates. Sen. Elizabeth Warren (D-Mass.) reacts to Powell’s testimony and the Fed’s next move. Warren discusses the impact of tariffs on inflation and the state of the Democratic Party. Meanwhile, Health Secretary Robert F. Kennedy Jr.’s revamped vaccine panel has begun reviewing long-approved U.S. vaccines. Former FDA Commissioner Dr. Scott Gottlieb shares his thoughts on the CDC’s new advisory board and the future of vaccine policy. Plus, the latest on President Trump’s legal battle with Paramount and are crypto mortgages in our future?
Sen. Elizabeth Warren - 16:28
Dr. Scott Gottlieb - 35:16
Sen. Elizabeth Warren, @SenWarren
Dr. Scott Gottlieb, @ScottGottliebMD
Becky Quick, @BeckyQuick
Joe Kernen, @JoeSquawk
Zach Vallese, @zachvallese
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