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Meet Ralph Lee Abraham, the CDC’s new second-in-command who believes the Affordable Care Act should be repealed and called vaccines ‘dangerous’

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Dr. Ralph Lee Abraham, the Louisiana surgeon general who halted his state’s vaccine promotion campaigns and delayed warning the public about a deadly whooping cough outbreak, has quietly been installed as the second-highest official at the Centers for Disease Control and Prevention. The Department of Health and Human Services did not announce this appointment. The news was first spotted by Dr. Jeremy Faust, who runs the Substack called Inside Medicine.​

Abraham, a 70-year-old former Republican congressman who served three terms representing Louisiana’s 5th congressional district, started in his new role as principal deputy director on November 23, according to the agency’s internal database. The HHS has since confirmed Abraham’s appointment.

The selection aligns the CDC’s senior leadership with the views of Health Secretary Robert F. Kennedy Jr., a longtime vaccine skeptic. Abraham has promoted discredited COVID-19 treatments including ivermectin and hydroxychloroquine, and, according to Faust, Abraham was the seventh-highest prescriber of ivermectin among Louisiana’s roughly 12,000 practicing physicians in 2021, personally accounting for 1.1% of the state’s prescriptions for the anti-parasitic drug. Clinical studies had already demonstrated ivermectin’s ineffectiveness against COVID-19 by that time.

In September, Abraham told the Shreveport Times he believes the COVID vaccine is “dangerous” and does not recommend it to his own patients. At a state legislative meeting last September, he claimed: “I see, now, vaccine injury every day of my practice” from COVID vaccines, though he did not specify the nature of these injuries. The claim contradicts extensive research showing COVID vaccines significantly reduce hospitalizations and deaths.

Abraham’s record as Louisiana’s top health official has drawn sharp criticism. In February, he ordered the Louisiana Department of Health to cease promoting mass vaccination—a decision announced the same day Kennedy was confirmed as HHS secretary. Under his leadership, the state’s health department delayed for months before alerting physicians and the public about a whooping cough outbreak that killed two infants, the state’s first pertussis-related deaths since 2018.

Dr. Georges Benjamin, executive director of the American Public Health Association, said the delayed response was atypical. “Particularly for these childhood diseases, we usually jump all over these,” Benjamin told NPR. “These are preventable diseases and preventable deaths.”

​CDC agenda

Dr. Nirav Shah, who served as CDC principal deputy director for two years before resigning earlier this year, told the New York Times that Abraham is “unqualified” for the position. “My jaw hit the ground” upon hearing of the appointment, Shah said, adding that a significant aspect of the role involves emergency response. He described the delayed notification about the pertussis deaths as “not just unacceptable, it’s shameful.”

As a congressman, Abraham consistently advocated for repealing the Affordable Care Act. “You should come to my practice in Mangham on a daily basis and I can show you the debacle of the ObamaCare law, if we can even call it that,” he said during a 2014 congressional debate. “As a practicing physician, right now, it’s not working and it’s even dangerous.”

Notably, as NBC News points out, there is no evidence Abraham is board-certified in family medicine, despite being described as a “family medicine physician” on official Louisiana state websites. The American Board of Family Medicine’s online database does not list him as certified, and the Louisiana State Board of Medical Examiners identifies him only as a general practitioner. Abraham practiced veterinary medicine for a decade before obtaining his medical degree from the LSU School of Medicine in 1994.

The appointment carries structural significance for the administration’s health agenda. The CDC currently lacks a permanent director; acting director Jim O’Neill, a former biotech executive without medical credentials, was installed in August after Kennedy fired his predecessor. Under the Federal Vacancies Reform Act, acting directors can serve only 210 days—a clock that expires in late March unless a permanent nominee is named. As principal deputy director, however, Abraham can serve indefinitely without Senate confirmation, potentially giving Kennedy and the White House sustained influence over the agency’s vaccine policies.

Senator Bill Cassidy of Louisiana, the Republican chairman of the Senate Health Committee and a physician, has clashed publicly with Abraham over vaccine policy. In February, Cassidy criticized Abraham’s decision to halt mass vaccination campaigns, saying: “Removing these resources from parents is not a stand for parents’ rights. It is making health care less convenient and available for Louisianans who are very busy.”

For this story, Fortune used generative AI to help with an initial draft. An editor verified the accuracy of the information before publishing.



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U.S. consumers are so strained they put more than $1B on BNPL during Black Friday and Cyber Monday

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Financially strained and cautious customers leaned heavily on buy now, pay later (BNPL) services over the holiday weekend.

Cyber Monday alone generated $1.03 billion (a 4.2% increase YoY) in online BNPL sales with most transactions happening on mobile devices, per Adobe Analytics. Overall, consumers spent $14.25 billion online on Cyber Monday. To put that into perspective, BNPL made up for more than 7.2% of total online sales on that day.

As for Black Friday, eMarketer reported $747.5 million in online sales using BNPL services with platforms like PayPal finding a 23% uptick in BNPL transactions.

Likewise, digital financial services company Zip reported 1.6 million transactions throughout 280,000 of its locations over the Black Friday and Cyber Monday weekend. Millennials (51%) accounted for a chunk of the sizable BNPL purchases, followed by Gen Z, Gen X, and baby boomers, per Zip.

The Adobe data showed that people using BNPL were most likely to spend on categories such as electronics, apparel, toys, and furniture, which is consistent with previous years. This trend also tracks with Zip’s findings that shoppers were primarily investing in tech, electronics, and fashion when using its services.

And while some may be surprised that shoppers are taking on more debt via BNPL (in this economy?!), analysts had already projected a strong shopping weekend. A Deloitte survey forecast that consumers would spend about $650 million over the Black Friday–Cyber Monday stretch—a 15% jump from 2023.

“US retailers leaned heavily on discounts this holiday season to drive online demand,” Vivek Pandya, lead analyst at Adobe Digital Insights, said in a statement. “Competitive and persistent deals throughout Cyber Week pushed consumers to shop earlier, creating an environment where Black Friday now challenges the dominance of Cyber Monday.”

This report was originally published by Retail Brew.



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AI labs like Meta, Deepseek, and Xai earned worst grades possible on an existential safety index

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A recent report card from an AI safety watchdog isn’t one that tech companies will want to stick on the fridge.

The Future of Life Institute’s latest AI safety index found that major AI labs fell short on most measures of AI responsibility, with few letter grades rising above a C. The org graded eight companies across categories like safety frameworks, risk assessment, and current harms.

Perhaps most glaring was the “existential safety” line, where companies scored Ds and Fs across the board. While many of these companies are explicitly chasing superintelligence, they lack a plan for safely managing it, according to Max Tegmark, MIT professor and president of the Future of Life Institute.

“Reviewers found this kind of jarring,” Tegmark told us.

The reviewers in question were a panel of AI academics and governance experts who examined publicly available material as well as survey responses submitted by five of the eight companies.

Anthropic, OpenAI, and GoogleDeepMind took the top three spots with an overall grade of C+ or C. Then came, in order, Elon Musk’s Xai, Z.ai, Meta, DeepSeek, and Alibaba, all of which got Ds or a D-.

Tegmark blames a lack of regulation that has meant the cutthroat competition of the AI race trumps safety precautions. California recently passed the first law that requires frontier AI companies to disclose safety information around catastrophic risks, and New York is currently within spitting distance as well. Hopes for federal legislation are dim, however.

“Companies have an incentive, even if they have the best intentions, to always rush out new products before the competitor does, as opposed to necessarily putting in a lot of time to make it safe,” Tegmark said.

In lieu of government-mandated standards, Tegmark said the industry has begun to take the group’s regularly released safety indexes more seriously; four of the five American companies now respond to its survey (Meta is the only holdout.) And companies have made some improvements over time, Tegmark said, mentioning Google’s transparency around its whistleblower policy as an example.

But real-life harms reported around issues like teen suicides that chatbots allegedly encouraged, inappropriate interactions with minors, and major cyberattacks have also raised the stakes of the discussion, he said.

“[They] have really made a lot of people realize that this isn’t the future we’re talking about—it’s now,” Tegmark said.

The Future of Life Institute recently enlisted public figures as diverse as Prince Harry and Meghan Markle, former Trump aide Steve Bannon, Apple co-founder Steve Wozniak, and rapper Will.i.am to sign a statement opposing work that could lead to superintelligence.

Tegmark said he would like to see something like “an FDA for AI where companies first have to convince experts that their models are safe before they can sell them.

“The AI industry is quite unique in that it’s the only industry in the US making powerful technology that’s less regulated than sandwiches—basically not regulated at all,” Tegmark said. “If someone says, ‘I want to open a new sandwich shop near Times Square,’ before you can sell the first sandwich, you need a health inspector to check your kitchen and make sure it’s not full of rats…If you instead say, ‘Oh no, I’m not going to sell any sandwiches. I’m just going to release superintelligence.’ OK! No need for any inspectors, no need to get any approvals for anything.”

“So the solution to this is very obvious,” Tegmark added. “You just stop this corporate welfare of giving AI companies exemptions that no other companies get.”

This report was originally published by Tech Brew.



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Hollywood writers say Warner takeover ‘must be blocked’

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Hollywood writers, producers, directors and theater owners voiced skepticism over Netflix Inc.’s proposed $82.7 billion takeover of Warner Bros. Discovery Inc.’s studio and streaming businesses, saying it threatens to undermine their interests.

The Writers Guild of America, which announced in October it would oppose any sale of Warner Bros., reiterated that view on Friday, saying the purchase by Netflix “must be blocked.”

“The world’s largest streaming company swallowing one of its biggest competitors is what antitrust laws were designed to prevent,” the guild said in an emailed statement. “The outcome would eliminate jobs, push down wages, worsen conditions for all entertainment workers, raise prices for consumers, and reduce the volume and diversity of content for all viewers.”

The worries raised by the movie and TV industry’s biggest trade groups come against the backdrop of falling movie and TV production, slack ticket sales and steep job cuts in Hollywood. Another legacy studio, Paramount, was sold earlier this year.

Warner Bros. accounts for about a fourth of North American ticket sales — roughly $2 billion — and is being acquired by a company that has long shunned theatrical releases for its feature films. As part of the deal, Netflix co-CEO Ted Sarandos has promised Warner Bros. will continue to release moves in theaters.

“The proposed acquisition of Warner Bros. by Netflix poses an unprecedented threat to the global exhibition business,” Michael O’Leary, chief executive officer of the theatrical trade group Cinema United, said in en emailed statement Friday. “The negative impact of this acquisition will impact theaters from the biggest circuits to one-screen independents.”

The buyout of Warner Bros. by Netflix “would be a disaster,” James Cameron, the director of some of Hollywood’s highest-grossing films in history including Titanic and Avatar, said in late November on The Town, an industry-focused podcast. “Sorry Ted, but jeez. Sarandos has gone on record saying theatrical films are dead.”

On a conference call with investors Friday, Sarandos said that his company’s resistance to releasing films in cinemas was mostly tied to “the long exclusive windows, which we don’t really think are that consumer friendly.”

The company said Friday it would “maintain Warner Bros.’ current operations and build on its strengths, including theatrical releases for films.”

On the call, Sarandos reiterated that view, saying that, “right now, you should count on everything that is planned on going to the theater through Warner Bros. will continue to go to the theaters through Warner Bros.” 

Competition from online outfits like YouTube and Netflix has forced a reckoning in Hollywood, opening the door for takeovers like the Warner Bros. deal announced Friday. Media giants including Comcast Corp., parent of NBCUniversal, are unloading cable-TV networks like MS Now and USA, and steering resources into streaming. 

In an emailed note to Warner Bros. employees on Friday, Chief Executive Officer David Zaslav said the board’s decision to sell the company “reflects the realities of an industry undergoing generational change in how stories are financed, produced, distributed, and discovered.”

The Producers Guild of America said Friday its members are “rightfully concerned about Netflix’s intended acquisition of one of our industry’s most storied and meaningful studios,” while a spokesperson for the Directors Guild of America raised concerns about future pay at Warner Bros.

“We will be meeting with Netflix to outline our concerns and better understand their vision for the future of the company,” the Directors Guild said.

In September, the DGA appointed director Christopher Nolan as its president. Nolan has previously criticized Netflix’s model of releasing films exclusively online, or simultaneously in a small number of cinemas, and has said he won’t make movies for the company.

The Screen Actors Guild said Friday that the transaction “raises many serious questions about its impact on the future of the entertainment industry, and especially the human creative talent whose livelihoods and careers depend on it.”

Oscar winner Jane Fonda spoke out on Thursday before the deal was announced. 

“Consolidation at this scale would be catastrophic for an industry built on free expression, for the creative workers who power it, and for consumers who depend on a free, independent media ecosystem to understand the world,” the star of the Netflix series Grace and Frankie wrote on the Ankler industry news website.

Netflix and Warner Bros. obviously don’t see it that way. In his statement to employees, Zaslav said “the proposed combination of Warner Bros. and Netflix reflects complementary strengths, more choice and value for consumers, a stronger entertainment industry, increased opportunity for creative talent, and long-term value creation for shareholders.”



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