Table of Contents >> Show >> Hide
- 1) What “Fluffing” Looks Like in Modern Medicine
- 2) The RFK Jr. Problem Isn’t One Man. It’s the Credential Pipeline.
- 3) So… Which Doctors Are We Talking About?
- 4) “Here’s What You Own” Means: Outcomes, Not Intentions
- 5) Why Accountability Is Messy (and Why That’s Not an Excuse)
- 6) What Responsible Dissent Actually Looks Like
- 7) A Note to Media: Stop Treating Doctors Like Decorative Plants
- 8) What You Can Do (If You Helped Fluff, Platform, or Sanewash)
- On-the-Ground Experiences (): What This Looks Like in Real Life
- Conclusion: The Bill Always Comes Due
Somewhere along the way, “evidence-based medicine” picked up an awkward roommate: “vibes-based medicine.”
And when vibes show up wearing a white coat, they don’t just get invited inthey get offered a seat at the head
of the table, a microphone, and (sometimes) a federal advisory badge.
This piece isn’t about dunking on anyone for having unpopular opinions. Medicine needs debate.
But it also needs grown-ups who understand that credentials aren’t just a résumé linethey’re a public trust.
If you’re a doctor (or a doctor-adjacent public figure) who helped “sanewash” Robert F. Kennedy Jr.by praising him,
framing him as misunderstood, lending him a platform, or treating his track record like a spicy hot takethen you’ve
helped create a permission structure. And permission structures have consequences.
“Fluffed” is a crude word, sure. But it captures something real: the soft-focus, flattering treatment that turns a
controversial figure into a “thought leader,” and a long history of disputed claims into “just asking questions.”
You may have meant to encourage open dialogue. You may have meant to critique institutions. You may have meant to
be contrarian in the healthy, scientific way. Yet once a message leaves the clinic or the faculty lounge and enters
a national media ecosystem, it behaves differentlylike a pathogen with excellent PR.
1) What “Fluffing” Looks Like in Modern Medicine
Fluffing isn’t the same as endorsing. It’s subtler, and that’s why it works. It often shows up as:
(1) the softball interview, (2) the “I don’t agree with him on everything, but…” preface, (3) the “he raises important
questions” framing, and (4) the confidence trick of speaking about a large body of scientific work as if it were an
unresolved bar fight.
The White-Coat Halo Effect
People don’t have the time, training, or emotional bandwidth to fact-check every medical claim. So they use proxies:
credentials, institutional affiliations, and perceived calmness. A physician’s calm, measured tone can function like a
stamp that says “safe to believe,” even when the content is shaky.
Sanewashing as a Social Technology
Sanewashing isn’t “lying.” It’s laundering. It takes a messy set of claims and repackages them into a plausible narrative:
institutions are corrupt, dissent is suppressed, and one brave figure is finally speaking the truth. When doctors participate
in this narrativeintentionally or notthey upgrade it from “internet argument” to “medical controversy.”
2) The RFK Jr. Problem Isn’t One Man. It’s the Credential Pipeline.
Kennedy’s critics have long argued that he popularized or amplified medically incorrect ideasespecially around vaccines and
autismat a scale that matters. But the bigger story, at least for the medical profession, is how that amplification gets
transformed into legitimacy. That transformation doesn’t happen because the public suddenly becomes fluent in epidemiology.
It happens because doctors (and media outlets) create a credibility pipeline.
By 2025, that pipeline intersected with actual levers of federal health policy. In June 2025, HHS announced it had removed
all 17 sitting members of the CDC’s Advisory Committee on Immunization Practices (ACIP), describing the move as “reconstituting”
the committee to restore public trust. That’s not a podcast fight; that’s governance.
After the shake-up, new appointments and leadership choices became a focal point of coverage and controversy. Later developments
included additional appointments to ACIP, along with public disputes about vaccine recommendations and the role of “individual autonomy”
versus population health.
3) So… Which Doctors Are We Talking About?
Let’s be careful and precise. This is not a “list of enemies.” The target is the pattern:
credentialed voices lending credibility to a political figure’s disputed medical narrative. The doctors involved generally fall into a few buckets.
Bucket A: Platform-Givers (The “I’m Just Hosting a Conversation” Crowd)
Some physicians and physician-led outlets treated Kennedy like an interesting heterodox guestsomeone whose claims could be entertained as
reasonable dissent rather than evaluated against an existing scientific record. This can look like an interview that treats the guest’s core
assertions as premises instead of hypotheses that require serious evidence.
The problem isn’t interviewing a controversial figure. The problem is doing it without a rigorous structure:
clear definitions, fact-checking, and a willingness to say, on the record, “That claim is false,” or “That conclusion isn’t supported.”
Without that structure, you’re not hosting a conversationyou’re handing out reputational loans.
Bucket B: Endorsers (The “Put Him In Charge” Letters and Campaign Surrogates)
Endorsements from medical professionals are especially potent because they compress complexity into a headline-friendly signal:
“Doctors support him.” For many readers, that’s all the information they will ever absorb.
Whether the endorsement is formally organized or informally circulated, the end result is the same: it portrays a contested
figure as a credible steward of public health.
Bucket C: Appointees and Allies (The “I’ll Fix It From the Inside” Strategy)
When doctors accept roles on or adjacent to federal advisory bodies in a newly reshaped system, they may believe they’re safeguarding
integrity. But to the public, the appointment itself often reads as validation: “See? Serious doctors are on board.”
For example, HHS publicly announced the appointment of two OB-GYNs to ACIP in January 2026, describing the move as reflecting commitments to
transparency and “gold standard science.” Multiple outlets also reported on the controversy around vaccine-related positions and the committee’s direction.
The point here isn’t to litigate every individual’s motives. It’s to note the unavoidable effect: appointments can legitimize a broader agenda.
4) “Here’s What You Own” Means: Outcomes, Not Intentions
In medicine, we grade outcomes. If your intervention didn’t work, you don’t get credit for having good vibes. Public communication deserves a similar ethic.
If your public posture helped normalize a narrative that then shaped policyespecially vaccine policyyou own part of that downstream impact.
You Own the Trust Erosion You Helped Accelerate
Trust is slow to build and fast to shatter. When doctors signal that mainstream immunization guidance is suspectwithout strong evidencethey don’t just
challenge “institutions.” They challenge the day-to-day work of pediatricians, family physicians, and nurses trying to keep kids protected.
You Own the Confusion You Made Profitable
Confusion is a business model. A public figure can sell certainty (“They’re lying to you”) while the audience pays with attention, subscriptions, votes,
and sometimes health outcomes. Doctors who join the storythrough commentary, media appearances, or monetized platformscan become part of that economy,
even if they don’t intend to.
You Own the “Both Sides” Damage
Not all debates are symmetrical. Treating settled questions as perpetually unsettled (“We just don’t know!”) is a form of misinformation-by-framing.
It teaches the public that evidence is negotiable and expertise is just another political tribe.
5) Why Accountability Is Messy (and Why That’s Not an Excuse)
Some doctors respond: “I have free speech.” True. You do. But the public also has pattern recognition.
And professional regulation has historically struggled to address misinformation that happens outside clinical encounters.
Research and reporting have noted that medical boards discipline physicians for misinformation relatively rarely, and that enforcement tends to focus more
on patient-directed conduct than public broadcasting. That gap between guidance and enforcement has left a lot of “public misinformation” effectively unpoliced.
Which means accountability has drifted into the cultural realm: reputations, professional relationships, editorial standards, and public criticism.
The “I Was Just Asking Questions” Escape Hatch
In science, asking questions is sacred. In propaganda, asking questions is a tactic. The difference is what happens next:
Do you follow the evidence, correct errors, and update beliefs? Or do you treat “questions” as a permanent state that justifies implying a conclusion
without proving it?
6) What Responsible Dissent Actually Looks Like
If your goal is reformsay, improving transparency, reducing conflicts of interest, or strengthening informed consentthere are ways to do that without
laundering weak claims into credibility.
Responsible Dissent Checklist
- Separate institutional critique from scientific claims. “The CDC communicates poorly” is not the same as “vaccines are unsafe.”
- Define terms. If you say “risk,” quantify it. If you say “harm,” specify mechanism and incidence.
- Use the full evidence base. Don’t cherry-pick a study like it’s a lottery ticket.
- Correct publicly. If you platformed a false claim, retract it with equal visibility.
- Don’t outsource rigor to your audience. “Do your own research” is not a methodology.
7) A Note to Media: Stop Treating Doctors Like Decorative Plants
Cable hits and podcast bookings often treat a physician’s title as a substitute for epistemic rigor. But a doctor can be brilliant in the clinic and sloppy
in public commentaryjust like a great pilot can still have bad takes about bridge engineering. If a doctor is presented as a “medical expert,” editors and
producers should verify: Does this person’s public claim match the consensus evidence? Do they disclose conflicts? Do they correct mistakes?
In a high-noise environment, “doctor” becomes a prop that communicates safety. When that prop is used to legitimize claims that major medical bodies reject,
audiences are misledpolitely, professionally, and with excellent lighting.
8) What You Can Do (If You Helped Fluff, Platform, or Sanewash)
There is an off-ramp. It just requires humility, which is inconvenient but cheaper than being wrong forever.
Three Repairs That Actually Matter
- Issue a clear, specific correction. Name the claim. Name why it’s wrong. Don’t hide behind “miscommunication.”
- Stop laundering. If you host, write, or speak, build in real-time fact-checking and publish annotations.
- Support professional norms. Advocate for stronger editorial standards and better institutional transparencywithout turning every
disagreement into a conspiracy.
On-the-Ground Experiences (): What This Looks Like in Real Life
The most telling “experience” isn’t what happens on TV or Substack. It’s what happens on Tuesday afternoon in a primary-care exam room, when a parent
says, “I’m not anti-vaccine, I’m just cautiouslike that doctor online said.” Clinicians report that the conversation has changed. It’s no longer about
one vaccine or one worry. It’s about a worldview: institutions lie, experts are compromised, and the brave truth-tellers are being silenced.
That worldview doesn’t arrive as a manifesto. It arrives as a screenshot.
Picture a pediatrician explaining a routine immunization schedule while a family scrolls a phone. The pediatrician describes benefits, typical side effects,
and the real but rare risks that every honest clinician acknowledges. The family nodsthen asks why “a federal panel” can’t just admit vaccines cause autism,
because “they’re finally looking into it again.” The pediatrician now has two jobs: deliver care and untangle a national narrative. The visit runs long.
The waiting room fills. Everyone loses time. The clinician’s frustration isn’t ideological; it’s operational. Medicine is already hard without also being
a full-time misinformation firefighter.
In obstetrics, clinicians describe another flavor of confusion: pregnant patients arrive with intense fear about vaccines or medications, sometimes triggered
by viral posts claiming catastrophic risks. A careful clinician offers nuance: risk differs by trimester, by condition, by exposure, by baseline health.
But nuance competes poorly against absolute claims delivered with confidence. The result can be paralysispatients avoid recommended protection during
pregnancy, then later ask for emergency reassurance when anxiety spikes or exposure occurs.
Hospital infection-prevention teams describe a third experience: policy whiplash. When public trust dips, vaccination rates can slide, outbreaks become more
plausible, and frontline staff absorb the consequences. The work is unglamorous: updating protocols, managing staffing, reassuring worried employees,
explaining why “individual choice” rhetoric doesn’t help when a contagious pathogen doesn’t ask for consent before spreading.
And then there’s the emotional toll. Clinicians talk about moral injury: watching preventable disease risk rise while influential voices frame the situation as
“freedom” versus “control.” It’s hard to maintain empathy when a patient’s refusal is fueled by someone else’s monetized certainty. Yet most clinicians try.
They keep explaining. They keep listening. They keep documenting. They keep the door openbecause medicine is built on second chances.
But second chances require one thing the public conversation often lacks: the willingness to say, plainly, “I was wrong.”
Conclusion: The Bill Always Comes Due
If you’re a doctor who “fluffed” RFK Jrby normalizing his claims, lending him your credentials, or treating his record like a misunderstood vibeyou may
feel unfairly blamed for political outcomes you didn’t control. That’s understandable. But influence isn’t only about control; it’s about contribution.
When credentialed professionals help convert fringe narratives into mainstream plausibility, they don’t get to step away once the narrative becomes policy.
“Here’s what you own” doesn’t mean you’re the sole cause. It means you’re part of the chain. And in medicine, chains matter.
If we want a healthier public discourse, doctors have to stop acting like credibility is a renewable resource. It isn’t.
Spend it wiselyor be prepared to pay interest.
