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5 key takeaways from highly anticipated MAHA commission report

President Trump's Make America Healthy Again Commission blamed factors including bad diets, chemical exposure and unnecessary medication for causing childhood chronic illness in a highly anticipated report released Thursday.Why it matters: The 68-page document from a panel led by HHS Secretary Robert F. Kennedy Jr. seeks to lay out a unifying theory around what's causing conditions like obesity, autoimmune conditions and behavioral disorders in kids.But it was developed in little more than three months and seeks to strike a balance between protecting consumers and promoting economic interests, especially when it comes to pesticides and chemicals commonly used in agriculture. "This is not, in any way, an attack on the American farmers or industry," NIH director Jay Bhattacharya, a member of the commission, told reporters Thursday. "What this is is a commitment to get excellent answers, excellent science, so that we can enable people to do the right thing." The big picture: As with Kennedy's broader health care philosophy, the report blends mainstream ideas with highly controversial elements, including doubts about the current childhood vaccine schedule.Here are the key takeaways:1. Ultra-processed foods. The commission, in the first and longest section, acknowledges that popular snacks and beverages save Americans time and money, but cites research that suggests ultra-processed foods are linked to chronic diseases and says children need more "whole foods." "I think everybody wants to prioritize the ultra-processed food crisis and try to reduce our reliance on ultra-processed foods and try to improve the quality of the food," Kennedy said on Thursday. 2. Chemical exposures. Potential toxins in the environment are a big concern, but the Trump administration is treading lightly. Farm groups worried ahead of the report's release that it would target pesticides like glyphosate, which are widely used in agriculture. "American farmers rely on these products, and actions that further regulate or restrict crop protection tools beyond risk-based and scientific processes set forth by Congress must involve thoughtful consideration of what is necessary for adequate protection, alternatives, and cost of production," the report states.3. More "gold-standard science." The report also portrays research on chemical exposure and chronic disease as a necessary competitive advantage for the U.S. Understanding potential links between chemical exposure and chronic illness "cannot happen through a European regulatory system that stifles growth," the report says. Rather, it should happen through science done by the federal government and "through unleashing private sector innovation."4. Overuse of medicine. The commission calls out kids' "overmedicalization" — and continues to cast doubt on childhood vaccines. It cites a 1,400% increase in antidepressant prescriptions for American adolescents between 1987 and 2014, as well as increased prescribing of stimulants, antibiotics and asthma drugs. Long-term research on the impact of commonly used drugs for kids is limited, but there are "contributory human data that raise important questions" about antidepressants, stimulants and other treatments, the report says. The commission also questions the current U.S. childhood vaccine protocol and says vaccines would benefit from "more rigorous clinical trial designs." Vaccines are already studied in large trials and subject to ongoing safety surveillance. 5. Corporate influence. The role of corporate interests features prominently in the report, despite assurances that it's not anti-industry. Misaligned incentives in federal regulations and significant scientific funding from food, pharmaceutical, tech and chemical companies contribute to the rise of chronic disease, the report claims. Zoom in: The secretaries of agriculture, education and housing, as well as the administrator of the Environmental Protection Agency and other federal officials, sit on the 14-member commission. White House deputy chief of staff Stephen Miller is a member, along with Office of Management and Budget Director Russell Vought, who co-authored the Heritage Foundation's Project 2025.What's next: The commission now has about 80 days to create a strategy for how the federal government should respond, per Trump's original February order. Agriculture Secretary Brooke Rollins said that updated dietary guidelines will likely be released before this fall. "What you're going to see is a whole new day on dietary guidelines where federal nutrition advice will be sound. It will be simple, and it will be clear," Rollins said.

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