In Texas, an unvaccinated child just died of Measels—the first reported death related to the disease’s recent outbreak. This came up at President Trump’s cabinet meeting on Wednesday, and the results were troubling. After Elon Musk admitted that his cuts had briefly closed down Ebola prevention, anti-vax Health and Human Services Secretary Robert F Kennedy Jr. was surprisingly cavalier about the outbreak, and didn’t bother urging Americans to get vaccinated. Trump said nothing to reassure the nation. We talked to Stephanie Psaki, a former top White House official who specialized in pandemic response. She explains what we want from public officials at moments like these—and why Musk’s wanton cuts to government, the anti-vax views of RFK, and the cavalier approach to public health from all three of them add up to a picture that’s “terrifying.”

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