“Convenient mythologies require neither evidence nor logic.” — Edward S. Herman, “Manufactured Consent: The Political Economy of Mass Media”
In a number of articles on its website, PEN America explains in striking detail the right-wing Trojan horse of “parental rights,” illuminating the threat caused by policymakers focused on this theater in the culture war.
PEN — which has gained a global reputation for standing “at the intersection of literature and human rights to protect free expression in the United States and worldwide” — argues that “parents’ rights” is not a source of freedom as claimed, but the crux of an ideological rigidity exercised by MAGA Republicans.
Replace the terms “books” and “literature” with “vaccinations” in the narratives, and the poisonous effects of “parents’ rights” and “medical freedom” on Florida’s public health system becomes clear.
Under the guise of “freedom,” the DeSantis administration including Surgeon General Joe Ladapo has established policies that have directly contributed to the measles outbreak that has spread across the state.
Yet, despite the proliferation of this disease, which has placed Florida fourth in the United States with 152 confirmed cases in 2025-26 and 145 confirmed cases so far this year, state officials have acted as if “there’s nothing to see here.”
Collier County is the center of an outbreak that began in January at Ave Maria University. The number of reported cases out of Collier has remained steady at 106, with most cases affecting those aged 15 to 24. According to the Florida Department of Health, Florida is up to 150 cases this year as of the week ending May 2. Officials note that there is “a continuing slowdown in infections after outbreaks earlier this year.”
Measles is one of the most contagious communicable diseases on record. With the measles, mumps, and rubella (MMR) vaccine, measles is easy to control. The MMR vaccine is credited with saving the lives of millions of people globally over the past 50 years.
Traditional medical experts warn that unvaccinated children need to stay home after measles exposure to stop transmission of this highly contagious disease. If not, chances of a prolonged outbreak increase significantly. Among unvaccinated people, nine of 10 who’re exposed will get infected.
Gov. Ron DeSantis, Republican legislators, and some health officials might have avoided the outbreak had they treated it as a strictly health-related issue not a politically charged one. And if DeSantis and Ladapo weren’t so cavalier about tossing around inaccurate data, taking problems out of context, or selectively presenting information, Florida wouldn’t be in this situation.
Experts point to vaccine hesitancy and fear sown by MAGA Republicans as reasons why fewer parents are interested in vaccinating their children. According to Politico, vaccine hesitancy has “evolved into a central pillar of the MAGA movement’s health policy, often blending medical skepticism with a desire to dismantle public health regulations.”
Skepticism of COVID-19 vaccines, and a growing distrust of traditional childhood vaccines, are “closely tied to the “Make America Healthy Again” (MAHA) agenda led by figures such as Robert F. Kennedy Jr.,” Politico writes.
The publication cites a 2023 Morning Consult poll showing that “as the number of voters more doubtful of vaccines has risen — despite scientific evidence that they’re safe and effective — it has come almost exclusively from one political party. While opposition to more established vaccines is still far from a majority position among Republicans, significant numbers question their safety and say Americans shouldn’t be encouraged to get them.”
Katelyn Jetelina and Kristen Panthagani capture perfectly the hubris surrounding Florida’s widening measles epidemic.
Jetelina, an epidemiologist, and Panthagani, an emergency physician at Yale University, have written that by ignoring common sense and medical advice, Florida’s health officials risk a mushrooming measles outbreak. Negligence by Lapado, DeSantis, and the MAHA crew has endangered citizens and inflamed the outbreak.
“This is happening in a state with a growing skepticism of vaccinations and an ongoing debate between individualism and the good of the larger population that came to a head during the COVID pandemic,” the authors write in a 2024 opinion piece in Scientific American.
“But containing measles, which can spread quickly, should not be up for debate. Yet this is what is happening in Florida, and it’s putting children’s health at risk.”
A 2025 study from the Cureus Journal of Science and Medicine, published in PubMed, examines how “declining vaccine uptake and growing vaccine hesitancy created pockets of susceptibility that enabled the outbreak.”
DeSantis and Lapado are vigorously pushing to make it easier for parents to opt their children out of mandatory school vaccines — a proposal the Florida House refused to pass in the 2026 regular session and the just-completed special session.
“Since 2021, the Sunshine State has led the country in advancing the parental rights agenda. Contrary to its name, this agenda has used fuzzy, coded language to manufacture moral panic, and to deliver control over what students can read and learn in schools not into the hands of all parents but to a particular segment of citizens — some not even parents but community members,” PEN America officials and researchers said.
“The cumulative effect has been to privilege some parents’ ideological preferences above all others, tie the hands of educators, and limit students’ access to information through curricular prohibitions and book bans.”
The same dynamic applies to health care and vaccines.
In its report on “parental rights” legislation, PEN cautioned that despite the fact that encouraging greater parental involvement in schools can seem like common sense, “these bills have an ulterior motive driving them: to empower a vocal and censorship-minded minority with greater opportunity to scrutinize public education and intimidate educators with threats of punishment.”
In Florida, the DeSantis administration and Republicans in the Legislature have taken up the battle cry. Ladapo and DeSantis announced in a press conference their intention of eliminating childhood vaccine mandates. Medical experts note that all 50 states enforce childhood vaccine mandates, with all states allowing medical exemptions and more than half — including Florida — allowing religious exemptions
Lyndon Haviland of the CUNY School of Public Health and Health Policy blames the “perfect storm” of vaccine skepticism, failed leadership, and broken trust as the core reasons for the outbreak.
The eruption of measles in Texas, Florida, and elsewhere, she contends, aren’t isolated events.
“Cases have also surfaced in Alaska, California, New Mexico, New York City, Georgia, Rhode Island, New Jersey and Pennsylvania. Concern that reports will continue to grow is rising,” she writes.
“It’s especially worrisome considering that the measles virus was completely eliminated in the U.S. as recently as the year 2000. The U.S. Centers for Disease Control and Prevention attributed this achievement to a “highly effective vaccine program in the United States, as well as better measles control in the Americas region.”
So, how did we get here?
“The answer: distrust. Distrust in health experts, who years ago were revered as national authorities on serious medical issues. Distrust in public health agencies, the CDC, and the Food and Drug Administration specifically, once respected as credible information resources. Distrust in the strength and rigor of vaccine testing protocols, the pharmaceutical industry itself and the broader politicization of public health.”
Haviland and other health experts fear ‘America, which was once considered a world leader in public health, has lost decades of progress in preventing the spread of a deadly disease with a provably safe therapy that has successfully saved millions of American lives.”
The focus on vaccine hesitancy “underplays the significant backlash against vaccines and the flood of anti-vaccine misinformation to which many Americans have been subjected,” Haviland continues.
“The reality is that Americans are increasingly adopting a more dismissive mindset in the way they view vaccine efficacy. Skepticism, rather than hesitancy, is a more accurate term to describe America’s perception of vaccines — and it shows no sign of slowing down.”
There is a certain arrogance the MAGA multitude carry. They act as though they have a direct line to God and the divine right to determine what’s best for the rest of us. Hence, the series of seemingly endless toxic, selfish crusades that former youth pastor and author John Pavlovitz argues “amplify baseless anti-science propaganda.”
This poisonous mindset has a human cost. Almost 90,000 people in the Sunshine State have died because of COVID; others have succumbed to preventable diseases like the flu.
There’s no telling when this measles outbreak will end but many in health circles and elsewhere will not stop fighting to protect America’s people against this destructive public health crisis.
Kevin Griffis, the Center for Infectious Disease Research and Policy’s director for media relations and public affairs, in an April 22 opinion piece wrote, “Americans can handle hard truths. What they should not have to tolerate is selective concern dressed up as science. … Public health depends on trust. Trust depends on honesty.”
“When the nation’s top health official pretends otherwise — or claims ignorance when it is politically convenient, so as not to raise the ire of MAHA activists — it is not public health leadership. It is yet another example of politics and ideology trumping evidence.”
