First the vaccine advisors. Now the people who help decide whether your mammogram is free.

Health Secretary Robert F. Kennedy Jr. has fired the two vice chairs of the US Preventive Services Task Force, a nonpartisan panel of 16 volunteer experts that sets recommendations on preventive care — mammograms, colonoscopies, statin prescriptions, depression screening. The panel now has eight vacancies, including its chair and vice chair positions, according to Ars Technica.

This is not a sudden crisis. Kennedy has spent months quietly hollowing out the task force. He failed to replace members whose terms expired at the start of the year, blocked the panel from meeting, and prevented it from releasing finalized recommendations on self-collected samples for cervical cancer screening.

Why it matters: under the Affordable Care Act, most insurance plans must cover preventive services that the task force grades “A” or “B.” Gutting the panel means gutting the evidence pipeline that determines what screenings Americans can access without paying out of pocket.

Doctors see a replay. Kennedy previously dismantled the Advisory Committee on Immunization Practices, which guides CDC vaccine policy — removing expert members, replacing them with allies, and pushing through fringe recommendations. The same playbook, applied to cancer screening.

American Medical Association President Bobby Mukkamala said the organization was “extremely concerned” in a statement on Wednesday. “Today’s changes were foreshadowed by the earlier dismantling of the Advisory Committee on Immunization Practices (ACIP),” Mukkamala said. “Our patients’ lives depend on it.”

The task force was designed for continuity — four-year, overlapping terms so expertise doesn’t vanish overnight. That design assumed someone would fill the seats as they emptied. No one has. And now there are fewer seats to fill.

Sources