Republican Sen. Bill Cassidy as soon as hoped to forge an alliance with Robert F. Kennedy Jr. that would revitalize Americans’ belief in public well being.
But simply seven months after Cassidy’s vote paved the way in which for Kennedy to lead the US Health and Human Services Department, their relationship has reached a breaking point.
Cassidy will lead a listening to Wednesday with fired US Centers for Disease Control and Prevention chief Susan Monarez, granting her a high-profile platform to element the interior clashes over vaccines that prompted Kennedy to oust her simply 4 weeks after endorsing her appointment.
The listening to represents a unprecedented departure from congressional Republicans’ typical Trump-era purpose of protecting the administration from criticism — as an alternative elevating testimony that threatens to injury Kennedy’s credibility and amplify scrutiny of his efforts to reevaluate entry to sure longstanding vaccines.
And it marks what allies of each Cassidy and Kennedy characterised because the lowest point of an already-tumultuous partnership, pushed by the Louisiana senator’s rising alarm over Kennedy’s agenda and his more and more obvious lack of ability to rein him in.
“There is nothing worse if you’re Kennedy than to have your opponent get her own hearing,” stated one one that has spoken lately with each males. “I think it’s a stunning decision.”
The session in entrance of the Senate’s well being committee comes at an particularly delicate second for each Kennedy and Cassidy, who every face mounting political pressures.
The abrupt firing of Monarez sparked backlash from the general public well being group and lawmakers from each events, placing Kennedy on the defensive over allegations he pressured Monarez to rubber stamp an anticipated revamp of the nation’s vaccine insurance policies whatever the underlying scientific proof.
Though President Donald Trump remained publicly supportive of Kennedy following a fiery hearing earlier this month the place the HHS secretary branded Monarez a liar, the episode has drawn the ire of a rising contingent of GOP senators.
Several Republicans, together with shut Trump allies Sens. John Thune of South Dakota and John Barrasso of Wyoming, both voiced considerations about Kennedy or declined to say they supported him within the speedy aftermath. Others have privately aired their worries immediately to Trump and different White House aides, in accordance to a particular person acquainted with the discussions.

Cassidy, in the meantime, is locked in a tight race for reelection in opposition to a number of Republicans who’ve criticized the two-term senator for voting to convict Trump in 2021 throughout the Senate’s impeachment trial. That resolution value him the president’s endorsement, Trump allies say. Creating additional complications for the White House now may spur Trump to come out definitively in opposition to him, successfully ending Cassidy’s profession within the deep-red state.
Multiple marketing campaign operatives monitoring the race say Cassidy can nonetheless cling on within the main if Trump doesn’t endorse one other candidate – and word that many Louisiana insiders are ready to see if a totally different competitor jumps in: GOP Rep. Julia Letlow, a Louisiana conservative shut to Trump who’s contemplating getting into the race. Asked on Tuesday if she has made a resolution on whether or not to enter, Letlow informed NCS: “I have not.”
“The White House is watching,” stated a Republican shut to the White House, including that Cassidy’s latest criticisms of Kennedy have already irritated aides across the president. “He’ll seal his own fate if he hasn’t already, if [the hearing] is perceived as unfair, if it’s perceived as one-sided, if it’s perceived as yet another opportunity to trash Kennedy.”
Cassidy, a former doctor who has lengthy advocated for vaccines and their security, has downplayed the rift with Kennedy and has insisted that the Monarez listening to goals solely to get the information of her ouster and the encompassing controversy over vaccine resolution making. A spokesperson for the senator didn’t reply to a number of requests for remark for this text.
Some members of his personal occasion view the listening to in another way.
“I think that she didn’t go to the position with good faith. She did not go to the position willing to support the science,” Sen. Rand Paul of Kentucky stated of Monarez. “I think it was right of her to leave the administration, and frankly, I’m glad she’s gone.”
Since casting a vote in favor of Kennedy’s appointment in alternate for commitments he stated would guarantee an “unprecedentedly close” working relationship, Cassidy has confronted sharp criticism from public well being advocates who fault him for enabling Kennedy’s disruptive agenda.
“Senator Cassidy drew lines in the sand, and when those lines were crossed, he did nothing,” stated Paul Offit, director of the Vaccine Education Center on the Children’s Hospital of Philadelphia, who had privately endorsed Cassidy in opposition to voting for Kennedy within the run-up to his affirmation.

The senator has received few followers in Kennedy’s orbit both, the place allies rapidly soured on him over his vaccine advocacy and a few Kennedy advisers privately considered Cassidy’s involvement with their work as an obligation quite than a true partnership.
Cassidy has nonetheless sought to avert a head-on confrontation with Kennedy that would drive Trump to decide a facet regardless of months of personal frustration over the decision-making at HHS, declining to immediately criticize the HHS secretary and wrapping his considerations in pro-Trump rhetoric — most lately arguing that Trump deserved a Nobel Prize for creating the Covid vaccines earlier than urgent Kennedy over why he would now search to prohibit entry to these photographs.
Still, his resolution to invite Monarez’ testimony a day earlier than a panel of handpicked Kennedy allies considers adjustments to extra vaccine suggestions was extensively interpreted inside Kennedy’s orbit as a direct effort to dent his agenda. It adopted a testy alternate two weeks in the past between them punctuated at one point by Kennedy’s curt dismissal: “Is this a question, Sen. Cassidy, or is this a speech?”
And whereas Kennedy advisers keep there is all the time a probability they might reconcile, there is little speedy urge for food to achieve this. In a signal of the divide, a public request Cassidy made final week that Kennedy endorse the whooping cough vaccine amid one of many worst outbreaks in Louisiana in latest historical past has gone unanswered.
“HHS is working closely with the state of Louisiana and its public health agency to monitor its pertussis caseload,” HHS spokesman Andrew Nixon stated.
Nixon didn’t reply to a collection of different questions from NCS.
Monarez on Wednesday is anticipated to immediately rebut Kennedy’s testimony that she was fired as a result of she was untrustworthy, in accordance to a copy of her ready testimony obtained by NCS, alleging as an alternative that her ouster got here after refusing to bend to strain to approve any coverage adjustments beneficial by an outdoor advisory panel stocked with vaccine critics.
She is additionally poised to additional recount Kennedy’s efforts to hearth senior CDC officers and element public well being choices that she and others have stated have been made with little scientific foundation. Dr. Debra Houry, who was the CDC’s chief medical officer earlier than she resigned in protest after Monarez’ ouster, may even be readily available to again up Monarez’ testimony and provide her personal perspective.
“Even under pressure, I could not replace evidence with ideology or compromise my integrity,” Monarez is planning to say, in accordance to the ready testimony. “Vaccine policy must be guided by credible data, not predetermined outcomes.”

Monarez’ account of her ouster — which occurred simply months after Trump touted her credentials in nominating her to run the CDC — will provide a important backdrop to suggestions that Kennedy’s vaccine panel is anticipated to make later this week delaying the hepatitis B vaccine till age 4. The shot is usually given inside sooner or later of beginning, as contaminated moms can move the virus to infants.
The prospect of altering that longstanding vaccine advice has dismayed Democrats and public well being specialists and prompted pushback from Cassidy, who has repeatedly emphasised the advantages of early vaccination and disputed misinformation about the shot.
That has left some unswayed: Paul stated Tuesday that “he’s really wrong and uninformed” about early vaccination in opposition to the virus.
More unnerving to a wider array of GOP senators, although, is the potential that it may very well be a prelude to a fuller revamp of ordinary childhood vaccinations that stay broadly fashionable throughout partisan strains. In an interview earlier this week, Robert Malone, a vaccine critic who now sits on Kennedy’s advisory panel, stated they’d “four years to crank through” a deliberate complete overview of childhood vaccines.
Yet at the very least for now, Cassidy stays largely alone in attempting to handle the fallout of a deteriorating relationship he as soon as appeared to optimistically suppose may reunify folks behind a frequent religion in public well being.
“He’s in a very hard bind, a very conservative state in some ways, and he’s very senior and yet is living in the fear that Trump in one tweet can blow him out of the water,” stated the one that has spoken to each Cassidy and Kennedy, characterizing the political tightrope that Cassidy is having to stroll. “But in the long run, you have to believe.”