As federal lawmakers prepare to decide whether anti-vaccine advocate Robert F. Kennedy Jr. should be the next secretary of the Department of Health and Human Services, pediatricians from around the country are making emotional pleas to protect and support lifesaving immunizations.
The American Academy of Pediatrics (AAP) has assembled nearly 200 stories and dozens of testimonials on the horrors of vaccine-preventable deaths and illnesses that pediatricians have encountered over their careers. The testimonials have been shared with two Senate committees that will hold hearings later this week: the Senate Committee on Finance and the Senate Committee on Health, Education, Labor, and Pensions (HELP).
“I remember that baby’s face to this day”
In a statement on Monday, AAP President Susan Kressly noted that the stories come from a wide range of pediatricians—from rural to urban and from small practices to large institutions. Some have recalled stories of patients who became ill with devastating diseases before vaccines were available to prevent them, while others shared more recent experiences as vaccine misinformation spread and vaccination rates slipped.
In one, a pediatrician from Raleigh, North Carolina, spoke of a baby in the 1990s with Streptococcuspneumoniae meningitis, a life-threatening disease. “I remember holding a baby dying of complications of pneumococcal meningitis at that time. I remember that baby’s face to this day—but, thanks to pneumococcal vaccination, have never had to relive that experience since,” the doctor said. The first pneumococcal vaccine for infants was licensed in the US in 2000.
A doctor in Portland, Maine, meanwhile, faced the same disease in a patient who was unvaccinated despite the availability of the vaccine. “As a resident, I cared for a young, unvaccinated child admitted to the pediatric intensive care unit with life-threatening Streptococcus pneumoniae meningitis. This devastating illness, once common, has become rare thanks to the widespread use of pneumococcal conjugate vaccines. However, this child was left vulnerable…and [their parents] now faced the anguish of watching their child fight for their life on a ventilator.”
Kressly emphasizes that “One unifying theme of these stories: vaccines allow children to grow up healthy and thrive. As senators consider nominees for federal healthcare agencies, we hope these testimonies will help paint a picture of just how important vaccinations are to children’s long-term health and wellbeing.”
Enlarge/ Independent presidential candidate Robert F. Kennedy Jr.
The Children’s Health Defense (CHD), an anti-vaccine group founded by Robert F. Kennedy Jr, has once again failed to convince a court that Meta acted as a state agent when censoring the group’s posts and ads on Facebook and Instagram.
In his opinion affirming a lower court’s dismissal, US Ninth Circuit Court of Appeals Judge Eric Miller wrote that CHD failed to prove that Meta acted as an arm of the government in censoring posts. Concluding that Meta’s right to censor views that the platforms find “distasteful” is protected by the First Amendment, Miller denied CHD’s requested relief, which had included an injunction and civil monetary damages.
“Meta evidently believes that vaccines are safe and effective and that their use should be encouraged,” Miller wrote. “It does not lose the right to promote those views simply because they happen to be shared by the government.”
CHD told Reuters that the group “was disappointed with the decision and considering its legal options.”
The group first filed the complaint in 2020, arguing that Meta colluded with government officials to censor protected speech by labeling anti-vaccine posts as misleading or removing and shadowbanning CHD posts. This caused CHD’s traffic on the platforms to plummet, CHD claimed, and ultimately, its pages were removed from both platforms.
However, critically, Miller wrote, CHD did not allege that “the government was actually involved in the decisions to label CHD’s posts as ‘false’ or ‘misleading,’ the decision to put the warning label on CHD’s Facebook page, or the decisions to ‘demonetize’ or ‘shadow-ban.'”
“CHD has not alleged facts that allow us to infer that the government coerced Meta into implementing a specific policy,” Miller wrote.
Instead, Meta “was entitled to encourage” various “input from the government,” justifiably seeking vaccine-related information provided by the World Health Organization (WHO) and the US Centers for Disease Control and Prevention (CDC) as it navigated complex content moderation decisions throughout the pandemic, Miller wrote.
Therefore, Meta’s actions against CHD were due to “Meta’s own ‘policy of censoring,’ not any provision of federal law,” Miller concluded. “The evidence suggested that Meta had independent incentives to moderate content and exercised its own judgment in so doing.”
None of CHD’s theories that Meta coordinated with officials to deprive “CHD of its constitutional rights” were plausible, Miller wrote, whereas the “innocent alternative”—”that Meta adopted the policy it did simply because” CEO Mark Zuckerberg and Meta “share the government’s view that vaccines are safe and effective”—appeared “more plausible.”
Meta “does not become an agent of the government just because it decides that the CDC sometimes has a point,” Miller wrote.
Equally not persuasive were CHD’s notions that Section 230 immunity—which shields platforms from liability for third-party content—”‘removed all legal barriers’ to the censorship of vaccine-related speech,” such that “Meta’s restriction of that content should be considered state action.”
“That Section 230 operates in the background to immunize Meta if it chooses to suppress vaccine misinformation—whether because it shares the government’s health concerns or for independent commercial reasons—does not transform Meta’s choice into state action,” Miller wrote.
One judge dissented over Section 230 concerns
In his dissenting opinion, Judge Daniel Collins defended CHD’s Section 230 claim, however, suggesting that the appeals court erred and should have granted CHD injunctive and declaratory relief from alleged censorship. CHD CEO Mary Holland told The Defender that the group was pleased the decision was not unanimous.
According to Collins, who like Miller is a Trump appointee, Meta could never have built its massive social platforms without Section 230 immunity, which grants platforms the ability to broadly censor viewpoints they disfavor.
It was “important to keep in mind” that “the vast practical power that Meta exercises over the speech of millions of others ultimately rests on a government-granted privilege to which Meta is not constitutionally entitled,” Collins wrote. And this power “makes a crucial difference in the state-action analysis.”
As Collins sees it, CHD could plausibly allege that Meta’s communications with government officials about vaccine-related misinformation targeted specific users, like the “disinformation dozen” that includes both CHD and Kennedy. In that case, it appears possible to Collins that Section 230 provides a potential opportunity for government to target speech that it disfavors through mechanisms provided by the platforms.
“Having specifically and purposefully created an immunized power for mega-platform operators to freely censor the speech of millions of persons on those platforms, the Government is perhaps unsurprisingly tempted to then try to influence particular uses of such dangerous levers against protected speech expressing viewpoints the Government does not like,” Collins warned.
He further argued that “Meta’s relevant First Amendment rights” do not “give Meta an unbounded freedom to work with the Government in suppressing speech on its platforms.” Disagreeing with the majority, he wrote that “in this distinctive scenario, applying the state-action doctrine promotes individual liberty by keeping the Government’s hands away from the tempting levers of censorship on these vast platforms.”
The majority agreed, however, that while Section 230 immunity “is undoubtedly a significant benefit to companies like Meta,” lawmakers’ threats to weaken Section 230 did not suggest that Meta’s anti-vaccine policy was coerced state action.
“Many companies rely, in one way or another, on a favorable regulatory environment or the goodwill of the government,” Miller wrote. “If that were enough for state action, every large government contractor would be a state actor. But that is not the law.”
Enlarge / Screenshot from the documentary Who Is Bobby Kennedy?
In a lawsuit that seems determined to ignore that Section 230 exists, Robert F. Kennedy Jr. has sued Meta for allegedly shadowbanning his million-dollar documentary, Who Is Bobby Kennedy? and preventing his supporters from advocating for his presidential campaign.
According to Kennedy, Meta is colluding with the Biden administration to sway the 2024 presidential election by suppressing Kennedy’s documentary and making it harder to support Kennedy’s candidacy. This allegedly has caused “substantial donation losses,” while also violating the free speech rights of Kennedy, his supporters, and his film’s production company, AV24.
Meta had initially restricted the documentary on Facebook and Instagram but later fixed the issue after discovering that the film was mistakenly flagged by the platforms’ automated spam filters.
But Kennedy’s complaint claimed that Meta is still “brazenly censoring speech” by “continuing to throttle, de-boost, demote, and shadowban the film.” In an exhibit, Kennedy’s lawyers attached screenshots representing “hundreds” of Facebook and Instagram users whom Meta allegedly sent threats, intimidated, and sanctioned after they shared the documentary.
Some of these users remain suspended on Meta platforms, the complaint alleged. Others whose temporary suspensions have been lifted claimed that their posts are still being throttled, though, and Kennedy’s lawyers earnestly insisted that an exchange with Meta’s chatbot proves it.
Two days after the documentary’s release, Kennedy’s team apparently asked the Meta AI assistant, “When users post the link whoisbobbykennedy.com, can their followers see the post in their feeds?”
“I can tell you that the link is currently restricted by Meta,” the chatbot answered.
Chatbots, of course, are notoriously inaccurate sources of information, and Meta AI’s terms of service note this. In a section labeled “accuracy,” Meta warns that chatbot responses “may not reflect accurate, complete, or current information” and should always be verified.
Perhaps more significantly, there is little reason to think that Meta’s chatbot would have access to information about internal content moderation decisions.
Techdirt’s Mike Masnick mocked Kennedy’s reliance on the chatbot in the case. He noted that Kennedy seemed to have no evidence of the alleged shadow-banning, while there’s plenty of evidence that Meta’s spam filters accidentally remove non-violative content all the time.
Meta’s chatbot is “just a probabilistic stochastic parrot, repeating a probable sounding answer to users’ questions,” Masnick wrote. “And these idiots think it’s meaningful evidence. This is beyond embarrassing.”
Neither Meta nor Kennedy’s lawyer, Jed Rubenfeld, responded to Ars’ request to comment.