I have watched the machinery of federal health agencies up close, and the 2024 election was the last test. Robert F. Kennedy Jr. was given the chance to lead the Department of Health and Human Services with the full backing of President Trump, the Republican majorities in Congress, and a public desperate for change. Yet, after 18 months of trying to dismantle the deep state, the FDA, CDC, and HHS remain intact, and the pharmaceutical lobby has successfully stalled every meaningful vaccine safety reform [1].