It is getting harder to ignore what happens when public health gets demonized and dismantled. Measles cases are surging to levels we haven’t seen in decades. Outbreaks of foodborne illnesses and extreme heat are taking lives across the country.
These aren’t random, unlucky breaks. They are the predictable result of breaking the systems designed to keep us safe.
Yet federal officials say little these days about how federal policy and institutions can actively create conditions for widespread health. Instead, they shift focus to personal choices—encouraging parents to be skeptical of vaccines, suggesting that “real food” is the cure for almost anything that ails us, and issuing dramatic warnings against everyday medications like acetaminophen and antidepressants.
In some cases, official statements demonstrate a cavalier disregard for both the truth and consequences. Take Monday’s press conference about an executive order on childhood vaccines. Although there are exactly zero cases of death associated with the combination vaccine against measles, mumps, and rubella when given to healthy children, the president called it “lethal” and “explosive.” This fact-free fearmongering is especially reckless in a record-breaking year for measles, with dangerous outbreaks across 46 states.
Public health experts often seem bewildered that some version of the administration’s ideas on health resonates with about 4 in 10 Americans. As a sociolinguist who studies how language and culture interact, I can see why the rhetoric is working — and how we can counter it.
Mindsets research helps explain why lies can sound true
FrameWorks research helps explain why false claims resonate. Mindsets — our deep-seated assumptions about how the world works — shape public thinking. The administration’s rhetoric encounters too little friction because it follows these well-worn grooves in public thinking. They offer ideas that sound consistent with “common sense,” regardless of whether they align with scientific evidence or good governance.
On health, they leverage these mindsets to their advantage:
Health = Healthy Lifestyle. Americans assume diet and exercise drive health. While personal habits matter, the resources and conditions where we live have a far greater impact, not to mention genetics. Scolding people to “eat better” works within a common mindset. That’s much easier than talking about or tackling more complex issues.
Natural Is Better: Most people hold an implicit belief that health means keeping the body free of artificial contaminants. On its face, this mindset isn’t “wrong” or harmful; it’s smart to avoid exposure to toxic substances. But rather than building on this intuition to promote environmental protections, the administration taps into it in ways that cast doubt on safe, proven medical advancements, from Tylenol to combination vaccines.
Threat of Modernity. This model involves a suspicion that human inventions and technology come with hidden threats. Vague warnings about “unknown environmental exposures” or ableist mischaracterizations of an “autism epidemic” tap into this assumption. Once people come to view modernity itself as an invisible enemy, it becomes easy to treat innovations — even time-tested ones like pasteurization or vaccines — not as protective, but as dangerous.
Because mindsets are deep and durable, messages that line up with them feel credible. This dynamic allows shaky and risky claims to gain far more traction than they deserve,
Hyperbole works as an escalation engine
When messaging aligns with implicit beliefs, our brains enter “agree mode,” making us highly vulnerable to hyperbole. Once a claim connects with a deep-seated mindset, exaggeration — or even outright falsehood — becomes harder for people to spot or reject. At a gut level, the core premise already “rings true.”
When this administration talks about health, it uses hyperbole and hyper-emotional language to move people from a tacit preference to active vigilance. Take these examples:
In talking about food dyes, the secretary of Health and Human Services exaggerates the health risks. Framing ingredients as “poisons” responsible for everything from loneliness to cancer shifts the conversation from nutrition to contamination. It inflates an everyday intuition about purity into a fight for our lives in the grocery aisles.
In describing the pace and timing of recommended childhood vaccinations, the president warns parents against “pumping babies full of vaccines” that are “lethal.” Depicting proven pediatric care with violent imagery raises the stakes for parents and policymakers, triggers an instinct to defend a child from bodily harm, and short-circuits critical thinking.
Tapping Into Productive Mindsets
We can shift the dialogue by leaning into three very different mindsets that Americans also hold:
Government as Protector: Americans expect government to protect its people from harm. We can activate this by framing food safety policies, food quality regulations, and environmental monitoring as a collective shield that protects our kitchens and communities. When opponents call it red tape, we can call it what it is: government running on a thoughtful process, not personal whims.
What Surrounds Us Shapes Us: While the “Health = Healthy Lifestyle” mindset puts all the burden on the individual, we can pivot to the understanding that our environment shapes our health. By highlighting how safe food supply chains, clean air, and school vaccine requirements are prerequisites for health, we move the focus from personal habit to structural responsibility.
Interconnection: We can counter the hyper-individualistic “medical freedom” narrative by reminding people of our shared fate. Widespread immunizations are a common defense system; the health impacts of a disrupted climate system threaten us all. The smartest response is a collective one.
The Architecture of Real Safety
Individual choices cannot shield us from structural threats. No amount of “clean living” can insulate a family from extreme heat, an unsafe food supply, or preventable disease outbreaks in shared spaces.
True public health depends on robust institutions and rational, evidence-based policy. That’s harder for people to grapple with, harder to message, and harder to do. But we can do hard things – and research into mindsets and framing can help make it easier. By fostering public understanding and will, we can secure the systems that provide real safety for everyone.
Julie Sweetland, PhD, is a sociolinguist and a senior advisor at the FrameWorks Institute.




If Trump & Chumps don’t completely do away with STATS-taking during their term, the RESULTS should speak for themselves re: reality of doing away with real public health protocol.
But will these ‘suggestion-gullibles’ want to ADMIT even extreme negative consequences to their own, or their children’s health?
During the Covid pandemic some dying patients used their LAST BREATHS denying that they had Covid … even during (nurse-held) phone calls to their relatives when they cd have been saying “I love you, stay safe from this bug.”
There are sequelae to all these ‘natural’ childhood diseases … ask chicken-pox /shingles sufferers decades later! * I now have had my 2 x vax after experiencing it in my buttocks & upper thigh - the jolts of pain felt like an electric cattle prod … and just think of not being able to sit for nearly a month! 🙄
* During an outbreak of shingles, exposure to the varicella virus found in shingles blisters can cause chickenpox in someone who has not yet had chickenpox … wikipedia.
The current, financially well-buffered & privileged admin will experience few of their public health failures — and they will likely try to not even allow proper stats gathering & treatment.
This govt, brought to you by 1/3 ‘gullibles’ Americana, plus racist/misogynist couch potatoes.
🔹Here’s what I wonder : WHEN will other countries begin refusing Americans entry when the U.S. epidemics resulting from these misguided 🙄 public health policies really start kicking in?
* The next Dem admin has SO much MAGA work to undo! Staggering idiocy.
Thanks for helping us understand the ‘thinking’ (gut feeling) behind this idiocy.
— now help us understand the admin perp’s ‘thinking’.
Thanks for all the thoughtful comments! Contrarian readers clearly care about their health!
As a lot of commenters have noted: I’m not suggesting that personal health behaviors don’t matter. (Though they matter less, relatively speaking, than I personally once thought - something I learned from working with public health and medical experts over the years.)
I *am* arguing that to the extent the administration focuses on lifestyle, their overall health policies get less scrutiny than they might. The public says “yep, that sounds about right!” And then we don’t talk as much about their major health moves like gutting the public health system or kicking millions off of health insurance.
And a friendly reminder that “lifestyle diseases” only get to be leading causes of death in the US because we have done such a good job of preventing “infrastructure diseases” more directly shaped by government policy. I’m thinking of leading killers of the past - from infectious diseases spread before widespread public sanitation to childhood diseases we now prevent through vaccination.