{"id":662058,"date":"2025-05-07T08:00:31","date_gmt":"2025-05-07T12:00:31","guid":{"rendered":""},"modified":"2025-08-11T15:45:16","modified_gmt":"2025-08-11T19:45:16","slug":"the-sad-state-of-trust-in-the-cdc-and-fda","status":"publish","type":"from-drew-altman","link":"https:\/\/www.kff.org\/from-drew-altman\/the-sad-state-of-trust-in-the-cdc-and-fda\/","title":{"rendered":"The Sad State of Trust in the CDC and FDA"},"content":{"rendered":"<div\n\tclass=\"wp-block-kff-shared-content--standard-layout wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t<div class=\"post-header\">\n\t\t\t\t\t\n\t<h1 class=\"post-header__title\">The Sad State of Trust in the CDC and FDA<\/h1>\n\n\t\n\t\t\t<div class=\"post-header__meta\">\n\t\t\t\t\t<div>\n\t\t\t\t<span class=\"post-header__meta-label\">\n\t\t\t\tAuthor:\t\t\t\t<\/span>\n\t\t\t\t<a href=\"https:\/\/www.kff.org\/person\/drew-altman\/\">Drew Altman<\/a> \t\t\t<\/div>\n\t\t\t\t<div>\n\t\t\t<span class=\"post-header__meta-label\">Published:<\/span>\n\t\t\t<date>May 7, 2025<\/date>\n\t\t<\/div>\n\t\t<\/div>\n\t\n\t<div class=\"post-header__social-sharing\">\n\t\t<button class=\"post-header__social-sharing__button print\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M4.348 2.5v3.391H2.783A.787.787 0 0 0 2 6.674v4.696c0 .429.353.782.783.782h1.565V14.5h7.304v-2.348h1.565c.43 0 .783-.353.783-.782V6.674a.787.787 0 0 0-.783-.783h-1.565V2.5H4.348Zm.522.522h6.26v2.87H4.87v-2.87ZM2.783 6.413h1.782a.26.26 0 0 0 .085 0h6.697a.26.26 0 0 0 .086 0h1.784c.148 0 .261.114.261.26v4.697c0 .147-.113.26-.26.26h-1.566V9.283H4.348v2.347H2.783a.257.257 0 0 1-.261-.26V6.674c0-.147.113-.261.26-.261Zm9.39.783a.522.522 0 1 0 0 1.043.522.522 0 0 0 0-1.043ZM4.87 9.804h6.26v2.043a.264.264 0 0 0 0 .086v2.045H4.87v-2.043a.261.261 0 0 0 0-.085V9.804Zm1.043.783a.262.262 0 0 0-.265.26.26.26 0 0 0 .265.262h4.174a.26.26 0 1 0 0-.522H5.913Zm0 1.043a.26.26 0 1 0 0 .522h3.13a.26.26 0 1 0 0-.522h-3.13Zm0 1.044a.26.26 0 1 0 0 .522h4.174a.262.262 0 0 0 .264-.261.26.26 0 0 0-.264-.261H5.913Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tPrint\t\t<\/button>\n\t\t<a href=\"mailto:?subject=The%20Sad%20State%20of%20Trust%20in%20the%20CDC%20and%20FDA&#038;body=https%3A%2F%2Fwww.kff.org%2Ffrom-drew-altman%2Fthe-sad-state-of-trust-in-the-cdc-and-fda%2F\" class=\"post-header__social-sharing__button\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M2.333 4.25h-.25v9.14h12.5V4.25H2.333Zm1.083 1.693-.353-.2V5.23h10.54v.513l-.353.2L8.333 8.73 3.416 5.943Zm-.353 6.467V6.884l.107.06 5.04 2.857.123.07.123-.07 5.04-2.857.107-.06v5.526H3.063Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tEmail\t\t<\/a>\n\t\t<button class=\"post-header__social-sharing__button copy\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M11.533 2.9c-.615 0-1.23.235-1.697.702L8.502 4.936a2.4 2.4 0 0 0-.575 2.46l.958-.958a1.32 1.32 0 0 1 .371-.748l1.334-1.333a1.331 1.331 0 0 1 1.886 0c.52.52.52 1.365 0 1.885l-1.334 1.333c-.21.21-.474.331-.748.372l-.958.958a2.393 2.393 0 0 0 2.46-.576l1.334-1.333a2.402 2.402 0 0 0 0-3.394 2.393 2.393 0 0 0-1.697-.702Zm-1.61 3.46a.533.533 0 0 0-.367.162l-3.2 3.2a.533.533 0 1 0 .754.754l3.2-3.2a.534.534 0 0 0-.387-.915ZM6.586 7.973a2.388 2.388 0 0 0-1.816.697l-1.334 1.333a2.403 2.403 0 0 0 0 3.394 2.393 2.393 0 0 0 1.697.702c.614 0 1.229-.234 1.697-.702l1.333-1.334a2.4 2.4 0 0 0 .576-2.46l-.959.958a1.32 1.32 0 0 1-.37.749l-1.334 1.333a1.334 1.334 0 0 1-1.886-1.885l1.334-1.334c.21-.21.474-.331.748-.372l.958-.957c-.21-.07-.426-.11-.644-.122Z\" fill=\"#004B88\"\/>\n\t\t\t<\/svg>\n\n\t\t\t<span>Copy Link<\/span>\n\t\t<\/button>\n\t\t\t<\/div>\n\t<\/div>\n\t\t\t\n\n<p class=\"wp-block-paragraph\">Levels of trust in the nation\u2019s scientific agencies that affect people\u2019s everyday lives\u2014the CDC and the FDA\u2014are abysmally low, driven in part by polarization and partisanship. It\u2019s a danger to the nation if another epidemic hits and the country needs public health leadership or a new drug or vaccine to get through it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here are a few numbers:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fewer than half of the public say they have confidence in the FDA and CDC to carry out their core responsibilities, and in a finding I would expect more from fringe groups than the public, just three in 10 say the agencies can act independently without being influenced by outside groups.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These measures, and many others we found in our latest <a href=\"https:\/\/www.kff.org\/health-information-and-trust\/poll-finding\/kff-tracking-poll-on-health-information-and-trust-vaccine-safety-and-trust\">Health Information and Tracking Poll<\/a>, are not all that different from the levels of trust we saw in 2023. Underneath the topline data, however, is a striking shift in who trusts the CDC and FDA and who doesn\u2019t, which is driven by partisanship. The share of Republicans who have a \u201cgreat deal\u201d or a \u201cfair amount\u201d of trust in the CDC to provide vaccine information increased <strong>11 percentage points <\/strong>since 2023, and <strong>10 percentage points <\/strong>for FDA. By contrast, it fell by <strong>18 points <\/strong>for Democrats for CDC and by <strong>19 points<\/strong> for FDA. The increase in trust by Republicans especially demonstrates the power of partisan tribalism, as Republicans, 80% of whom are now MAGA supporters, have never been a group distinguished by faith in government or public health.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Overall levels of trust are simply very low. Thirty-nine percent of Democrats currently have \u201ca lot\u201d or \u201csome\u201d confidence in the ability of the CDC and FDA to deal with infectious disease outbreaks like measles and bird flu; 46% of Republicans do. There are only a couple of measures for which the agencies break 50%: fifty-two percent of Democrats have confidence in their ability to ensure vaccine safety and effectiveness and 50% of Republicans have a lot or some confidence that they will ensure the safety and effectiveness of prescription drugs (the FDA\u2019s job).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Similar gaps driven by partisan viewpoints can be seen at the state and local level where 83% of Democrats trust their local health department to provide reliable vaccine information compared with 51% of Republicans who do. We don\u2019t know from our polling whether trust in state health departments shifts with changes in governorships or not, but we do know that state and county health departments have been <a href=\"https:\/\/kffhealthnews.org\/news\/tag\/underfunded-and-under-threat\/\">taking a lot of heat<\/a> since Covid.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There\u2019s one particularly revealing finding from the survey: The same percentage of Republicans (74%) trust President Trump and Secretary Kennedy (73%) to provide \u201creliable information about vaccines\u201d as their pediatrician (also 73%). The question wasn\u2019t about support for Trump or loyalty to him, which you would expect to be very high for Republicans, it was about vaccine information. It shows that for many poll respondents, every question can be a party loyalty test these days regardless of what the question may actually be about.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Throughout the pandemic as we tracked attitudes and behavior on vaccines, we found that one variable consistently predicted attitudes and behavior on Covid on almost every dimension\u2014what political party people belonged to. And right now, the parties tend to represent the edges of right and left more than the middle. But our polling also shows most Americans live somewhere near the middle on public health issues\u2014uncertain what and who to believe, <a href=\"https:\/\/www.kff.org\/from-drew-altman\/countering-health-misinformation-by-the-numbers\/\">subject to misinformation but potentially persuadable by the facts<\/a>, too. Just like countering misinformation, the best opportunity to rebuild trust with the public may be in the middle, not at the edges.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There is no one thing that will address these low levels of trust in the CDC and FDA. Americans have always had a healthy distrust of government, but not one whipsawed by partisan affiliation until more recently. Restoring reasonable levels of trust in the CDC and FDA will require many things. Among them: an administration, Republican or Democratic, committed to restoring their independence as science-based agencies; and a commitment by the agencies to meet people where they are and become not just science-based agencies but health and science communications agencies, too.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Investing in real communications capabilities for these agencies is easier said than done, not just because budgets are being slashed, but because both Congress and sometimes the press have looked askance at agency investments in communications, seeing them mostly as public relations plays by agency heads and not as a vital tool to advance the agency\u2019s mission. In the past, most of the communications capability needed to deal with a crisis rested elsewhere in HHS, sometimes with the Surgeon General, and in the White House, not in the agencies themselves. Depending on the administration that has sometimes been helpful and sometimes overtly political.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As always, the country will look to the CDC and FDA if another pandemic hits. But with levels of trust this low and polarized, can they still lead the whole country? If not, who does?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/health-information-trust\/\">\n\t\t\t\tHealth Information and Trust\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/public-opinion\/\">\n\t\t\t\tPublic Opinion\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/bird-flu\/\">\n\t\t\t\tBird Flu\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/epidemics\/\">\n\t\t\t\tEpidemics\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/measles\/\">\n\t\t\t\tMeasles\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/politics\/\">\n\t\t\t\tPolitics\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/vaccines\/\">\n\t\t\t\tVaccines\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t<\/section>\n\n\n<section class=\"wp-block-kff-shared-content-sidebar\">\n\t\t\t\n\t\t\n<div class=\"wp-block-kff-shared-related-content--green wp-block-kff-shared-related-content\">\n\t<h2 class=\"wp-block-kff-shared-related-content__heading\">Also of Interest<\/h2>\n\t<div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/health-information-trust\/kff-tracking-poll-on-health-information-and-trust-vaccine-safety-and-trust\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tKFF Tracking Poll on Health Information and Trust: Vaccine Safety and Trust\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/from-drew-altman\/countering-health-misinformation-by-the-numbers\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tCountering Health Misinformation, By the Numbers\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/health-information-trust\/kff-tracking-poll-on-health-information-and-trust-january-2025\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tKFF Tracking Poll on Health Information and Trust: January 2025\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\t\t\t<\/section>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>In his latest column, KFF\u2019s President and CEO Drew Altman discusses how the low levels of trust in the CDC and FDA today seen in KFF\u2019s recent survey findings present a danger should the country face another epidemic.<\/p>\n","protected":false},"author":155412884,"featured_media":662160,"template":"","meta":{"exhibits":[],"authors":[{"type":"foundation","id":49507,"name":""}],"jetpack_post_was_ever_published":false,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","search_keywords":"From Drew Altman, 10686, Drew Altman","shortlink":"","footnotes":""},"categories":[579145376,63719],"tags":[579145410,579145443,579145427,398,579145135],"partner":[],"content-types":[579145480],"program":[],"series":[579145466],"class_list":["post-662058","from-drew-altman","type-from-drew-altman","status-publish","has-post-thumbnail","hentry","category-health-information-trust","category-public-opinion","tag-bird-flu","tag-epidemics","tag-measles","tag-politics","tag-vaccines","content-types-from-drew-altman","series-beyond-the-data"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - 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