Making Our States Healthy with Doctor Patient Partnerships

In this post I share an opinion from an Oklahoma physician on the recent visit of HHS Secretary Robert Kennedy Jr. to promote the “Make Oklahoma Healthy Again” initiative, which includes controversial policy changes. Dr. Sharon D’Souza critiques the program’s focus on distractions rather than scientific health measures. I also point out the lack of patient involvement.

This information is current as of the date of original publication or update. It may have changed by the time you read this. I invite you to fact-check what you read here.

This information is not intended for diagnosis or treatment. Before making health decisions, discuss with your physician or other qualified healthcare provider to decide what is right for you.

On June 30, 2025 I published a post about HHS Secretary Robert Kennedy, Jr.’s visit to Oklahoma. He met with Governor Kevin Stitt at the state capitol to discuss their plan to “Make Oklahoma Healthy Again”, modeled after his national plan to Make America Healthy Again (MAHA).

Their plan included eliminating the state health department’s recommendation for fluoride in drinking water to prevent cavities and prohibiting recipients from using SNAP (food stamps) benefits to buy soda beverages.

Although no physicians had been invited to attend, many still showed up and presented their recommendations to help Oklahomans achieve better health.

After all, wouldn’t you think the doctors who take care of Oklahomans would know best what they need?

Oklahoma physicians at the state capitol holding a press conference,
photo from the state medical association Facebook page

In this post, I share an opinion piece from Dr. Sharon D’Souza, originally published on the website Oklahoma Voice and shared here by permission. I have edited the article minimally for length and readability.

Dr. Sharon D’Souza is a board-certified diagnostic radiologist in Tulsa, Oklahoma. She is president of the Oklahoma State Radiological Society, Vice President of the Tulsa County Medical Society, and a member of the Oklahoma State Medical Association Board of Trustees. She also earned an MPH in Public Health.

You probably don’t live in Oklahoma, but as you read the article, substitute the name of your state or territory for “Oklahoma”, since where you live likely faces the same or similar issues.

Gov. Stitt and RFK Jr. pledge to ‘Make Oklahoma Healthy Again.’ Their policies signal the opposite.

by Dr. Sharon D’Souza, Oklahoma Voice
July 30, 2025

Imagine this: a TV drama where a patient is being pushed through an emergency room by people in scrubs. Lights are blinking, alarms are sounding. Rounding the corner, the camera zooms in on an operating theatre ready to receive its patient.

a hospital emergency entrance
from LIGHTSTOCK.COM, affiliate

Except, the person waiting to spring into action isn’t a trained physician; it’s a politician in a suit with an unqualified idea to make the patient healthier. If this seems inconceivable, consider the events of June 26.

Gov. Kevin Stitt, center, pens his name during a ceremonial signing of an executive order to “Make Oklahoma Healthy Again,” as Robert F. Kennedy Jr., right, the nation’s secretary of health, and other supporters look on Thursday, June 26, 2025. (Photo by Janelle Stecklein/Oklahoma Voice)

Gov. Kevin Stitt welcomed U.S. Secretary of Health and Human Services Robert F. Kennedy Jr. to the Oklahoma Capitol for the “Make Oklahoma Healthy Again” rally. It served as a dramatic photo op, but behind the cameras, the policies promoted were anything but healthy.

As one of the unhealthiest states in the nation, Oklahoma cannot afford anti-science distractions that move us further from real solutions.

As a physician dedicated to practicing evidence-based medicine and advocating for patients, I wanted to see the assembly in person. I was joined by dozens of my colleagues, who canceled vital appointments so they could be on hand to advocate for the medical perspective that seemed to be ignored.

Physicians-Advocates for Solutions and Results

While Stitt and RFK Jr. rallied against fluoride in drinking water — a safe, proven public health measure — our coalition came prepared with something of value: a list of practical, data-backed solutions capable of improving the health of Oklahomans. Our coalition is not interested in political gains; we’re focused on actionable solutions and real results designed to strengthen the health care system.

Our list includes

  • prioritizing investments in health care infrastructure and education by properly funding Oklahoma hospitals, both rural and urban,
  • increasing educational opportunities for doctors and dentists, and
  • growing incentives for them to practice in Oklahoma’s underserved communities.

You simply can’t make a state healthier by undercutting its essential health care workforce, facilities, and resources.

Preventive Health Care Funding Cuts

Evidence-based preventive health care is also critical. Routine wellness visits, dental cleanings, immunizations, and continued fluoridation of public water are cost-effective, scientifically-proven tools for improving health and reducing healthcare costs.

The recent DOGE-OK cuts took funding out of Oklahoma’s hands and sent it elsewhere, weakening our resources to care for our own citizens. DOGE-OK slashed $15 million in “wasteful” immunization funding while we battle new cases of measles and tuberculosis, coupled with the lowest immunization rates in years.

(Note: In the United States, tuberculosis vaccination is not recommended routinely.)

We support putting Oklahoma tax dollars back in Oklahoma by restoring the funding cuts to health care.

Insurance Hurdles and Cuts

Our current health care process is burdened by a cumbersome insurance review process, leading to delays and denial of care recommended by a doctor or dentist. These practices intend to save corporations money, but patients pay the price with their wallets, health, and in some instances, their lives.

Legislation that promotes prior authorization reform and provides legal protection for those negatively affected by claims delayed or denied in bad faith would help.

Medicaid is critical to Oklahoma’s health care system, serving as the foundation of care for more than 900,000 Oklahomans, including low-income veterans, pregnant women, children, and people with disabilities. Cuts to Medicaid aren’t the answer and will simply shift the burden elsewhere, putting further strains on hospitals, physicians, and taxpayers.

How to Make Oklahomans Healthy

The problems we face, such as declining immunization rates and high occurrences of preventable diseases, will not be fixed by scapegoating fluoride. This is simply a distraction from the actual work that needs to be done.

While we can find common ground on issues like promoting exercise and proper nutrition, we must make these things affordable and accessible to everyone by investing in public health and food programs, rather than cutting those essential lifelines.

Oklahoma doesn’t need slogans borrowed from Washington. We need policies rooted in science, not conspiracy. If we’re serious about making Oklahomans healthy, we have to stop performing for the cameras and start listening to the experts.

Oklahoma Voice is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Oklahoma Voice maintains editorial independence. Contact Editor Janelle Stecklein for questions: info@oklahomavoice.com.

What patients can do to make their communities healthy

I agree with Dr. D’Souza that health recommendations and public policy should start with health and medical science. Many government and private agencies and organizations release evidence-based medical practice guidelines.

I also think our communities should support what residents believe is vital for their families’ health. What is important to you? What will help you achieve and maintain health?

I suggest you start by answering these questions and discussing them with your primary care physician.

What does health mean to me?

What do I need to be physically, mentally, and emotionally well?

What do I need and want from my community to help me create a healthy lifestyle?

Knowing the answer to these questions will help you evaluate the public policy and public health decisions created by your local, state, and federal governments. Ideally, health decisions should be based on science, need, and patient preference, not political ideology.

Exercise your right to express your opinions to your elected and appointed officials and never miss the opportunity to vote.

Photo by cottonbro on Pexels.com

KFF Health News

KFF Health News is a national newsroom that produces in-depth journalism about health issues.

KFF is an endowed nonprofit organization providing information on health issues to the nation. KFF Health News reports on how the health care system — hospitals, doctors, nurses, insurers, governments, consumers — works.

In addition to its website, its stories are published by news organizations nation wide. The site also features daily summaries of major health care news.

Here is a link to a recent KFF report about Secretary Kennedy, HHS, and the $6.3 trillion global wellness industry.

Vested Interests. Influence Muscle. At RFK Jr.’s HHS, It’s Not Pharma. It’s Wellness.

Images in this Post

The graphics in this post were created by the Oklahoma State Medical Association for public use.

Cover Image

The cover image of this post was created by JetPackAI available with WordPress.

Exploring the HEART of Health

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Fluoride and Food Stamps: Why You Should Care About Oklahoma’s Health Debate

HHS Secretary Robert Kennedy Jr. recently met with Oklahoma Governor Kevin Stitt to unveil a health initiative aiming to improve state health outcomes. The plan, which targets public water fluoridation and restricts SNAP purchases of sugary items, faced immediate backlash from local physicians advocating for evidence-based healthcare and better nutritional support for low-income families. In this post I give you my viewpoint.

Oklahoma, where the wind comes sweepin’ down the plain,

Oklahoma!, by Oscar Hammerstein II

You’ve probably heard my state song. It’s from a famous Broadway musical that was made into a movie, both titled Oklahoma!.

This past week HHS Secretary Robert Kennedy Jr. swept into Oklahoma City to meet with Governor Kevin Stitt to discuss his plan to “Make Oklahoma Healthy Again.” As Secretary, Kennedy’s job is to promote President Trump’s plan to “Make America Healthy Again.”

Maybe he should have scheduled a visit with Oklahoma physicians. They showed up anyway and did not exactly agree with Kennedy’s and Stitt’s priorities-fluoride in the water supply, red food dyes, and how recipients can use SNAP money (food stamps).

I’m sharing an article from Oklahoma Voice about it and what the Oklahoma State Medical Association (OSMA) posted on its website.

You may not live in Oklahoma but something similar is likely to happen in your state if it hasn’t already. I’ll conclude this post with my take on what both sides say.

Governor reveals  ‘Make Oklahoma Healthy Again’ plan with RFK  for bans on soda, red dye

By: Janelle Stecklein – June 26, 2025 1:57 pm

republished from Oklahoma Voice

OKLAHOMA CITY — In a move quickly panned by licensed health care providers, Gov. Kevin Stitt announced Thursday that he planned to “Make Oklahoma Healthy Again” by urging state agencies to stop supporting public water fluoridation, removing red food dyes from school and prison meals, and by asking the federal government to approve a request that bans food stamp recipients from purchasing soda and candy.

Stitt’s pledge came minutes after Robert F. Kennedy Jr., the nation’s secretary of Health and Human Services, criticized the state for having the 47th worst health outcomes during a raucous “MOHA” kickoff rally that drew hundreds of people to the state Capitol.

Gov. Kevin Stitt, center, pens his name during a ceremonial signing of an executive order to “Make Oklahoma Healthy Again,” as Robert F. Kennedy Jr., right, the nation’s secretary of health, and other supporters look on Thursday, June 26, 2025. (Photo by Janelle Stecklein/Oklahoma Voice)

Make Oklahoma Eat Healthy

Oklahoma has become the latest conservative state to submit a waiver to the U.S. Department of Agriculture that seeks to ban the state’s Supplemental Nutrition Assistance Program recipients from using their benefits to buy sodas, candies and other confectionery items, Stitt said. Tax dollars will no longer “continue to fund foods that are making people sick,” he said.

State officials will also work with the U.S. Department of Agriculture to find more ways to promote healthy eating and to make food stamp funding go further. 

“Eating healthy foods today is going to reduce health care spending and dietary related illnesses later on in life,” Stitt said.

Fluoride and Dyes

The Republican governor also said he’s instructed the Oklahoma State Department of Health to stop recommending fluoride in public water.

“Cities and water districts, they can still choose to do what they want, based on their constituents and the science, but it’s no longer going to be a recommendation for the state health department,” Stitt said.

And Stitt said he’s instructed all state agencies that provide meals to Oklahomans to discontinue their use of artificial dyes. He also plans to convene an advisory counsel to recommend other changes that can improve health outcomes across the state.

SCREENSHOT OF LOCAL NEWSPAPER COVERAGE, SOURCE NOT IDENTIFIED

Oklahoma’s Physicians Go to OKC

Stitt’s plans immediately faced criticism from licensed medical providers who showed up en masse at the rally, holding signs reading “Support Evidence-Based Health Care”, “Encourage Immunizations,” and “Protect Medicaid.” 

Dr. Steven Crawford, chair of the Oklahoma Alliance for Healthy Families, said it would be “disastrous” for children’s health to remove fluoride from water.

“We do know that appropriate public water fluoridation prevents cavities,” he said. “And how do you help children get better nutrition when they don’t have adequate dentition or teeth to be able to eat the food? So I am so sad that the governor is advocating removing appropriate fluoride from public water.”

it would be “disastrous” for children’s health to remove fluoride from water…appropriate public water fluoridation prevents cavities. And how do you help children get better nutrition when they don’t have adequate dentition or teeth to eat the food?

Dr. Steven Crawford, Family Physician,Professor Emeritus,
Senior Associate Dean, Office of Healthcare Innovation and Policy , University of Oklahoma College of Medicine

Crawford said fluoridation of public water and immunizations are two of the major health benefits over the past century and have been critical to improving the state’s and nation’s health outcomes.

He said removing candy and sugary drinks from the list of approved food stamp items isn’t inappropriate, but Stitt neglected to mention that many recipients already don’t get enough resources to buy healthy foods.

The governor also didn’t discuss increasing food stamp funding to ensure children are getting adequate nutrition, particularly during the summer months when they are not eating at school, he said.

Secretary Kennedy avoids vaccine mention

Kennedy, who participated in a staged, ceremonial executive order signing with Stitt, praised the governor’s actions. 

“I am so gratified by these actions that are being taken by Gov. Stitt to make Oklahoma healthy again,” Kennedy said.

Spectators heckled Kennedy throughout his speech that focused on America’s soaring rates of obesity, diabetes, and autism, declines in the nation’s fertility rates, and a drop in American teenage boys’ testosterone levels.

Kennedy, who has been criticized as being a vaccine skeptic, did not mention immunizations during his address.

At one point, a state trooper was seen escorting two bystanders from the crowd after one began shouting something unintelligible at Kennedy. A spokesperson for the Oklahoma Highway Patrol did not respond to a request for comment about the encounter.

Kennedy said when people ask him if he’s taking soda and sugary drinks away from Americans, he tells them that they should have the right to drink a bottle of soda.

“We live in a country where we have individual freedom,” he said. 

The federal government just should not be paying for it, he said.

“We’re paying for them at the front end by buying soda for the poorest Americans, and then we’re paying for it (on) the back end with this diabetes, for Medicaid and Medicare,” Kennedy said. “And it doesn’t make any sense. We are poisoning the American people.”

He said electing leaders like Stitt will change the way we do things in the U.S. to give American children a better chance of growing up healthy.

This story is republished under Creative Commons license CC BY-NC-ND 4.0.

“Solutions not Slogans” from Oklahoma Doctors

Many of the physicians who attended the event are members of the OSMA, the Oklahoma State Medical Association. (I am a Life Member of the OSMA).

The event was not announced in advance, but with short notice they left their practices for the day to attend the meeting. They also offered their own solutions for “making Oklahoma’s citizens healthy.”

“We agree that Oklahoma’s health needs must be addressed, but we don’t need Washington slogans. We need real solutions and Oklahoma policymakers who are willing to stand up for Oklahoma patients,”

Oklahoma State Medical Association President Sumit Nanda, M.D.
Physicians advocate for evidence-based healthcare, hospital funding, immunizations, and Medicaid; from Facebook

“Primary care is the front line of better health—and that includes science-backed public health efforts like vaccines, preventive care, and chronic disease management.

When we ignore evidence, devalue education, and politicize science, we don’t just fall behind—we fail our people.”

Oklahoma Academy of Family Physicians President Rachel Franklin, M.D., FAAFP

Five Practical Ways to Make Oklahoma Healthy

from the OSMA website

  1. Invest in health care infrastructure and education by funding hospitals in rural and urban parts of the state, increasing educational opportunities for doctors and dentists, and growing incentives for them to practice in underserved areas.
  2. Educate Oklahomans about the importance of science-based preventive health care, including wellness visits, dental visits, immunizations, and fluoridation of public water.
  3. Put Oklahoma tax dollars back in Oklahoma by restoring the DOGE funding cuts to health care.
  4. Stop insurance company overreach. When insurance companies delay or deny care recommended by a doctor or dentist, patients pay the price.
  5. Protect Oklahoma’s children and most vulnerable patients by ensuring Medicaid is fully funded.

“where health comes sweepin’down the plain”

These issues and ideas are not unique to Oklahoma. All states need these practical solutions to promote healthy lifestyles and provide optimal medical care when needed.

Contrary to what RFK and others say, physicians are not “keeping patients sick” just to make money. Quite the contrary. Physicians are frustrated because their efforts to prevent illness are often not supported by insurance companies, businesses, the government, and sometimes patients themselves.

Physicians know that food intake plays a major role in promoting health and preventing disease. But trying to micromanage people’s diets by limiting their choices may not be the most efficient and effective way to do so.

Limiting SNAP recipients’ choices seems punitive, not helpful. And I wonder how it will be enforced. What counts as “soda” and what exactly is “candy”? Fruit juice is as high in sugar as soft drinks. Limiting a single source of excess sugar is unlikely to make much difference overall. Perhaps they should provide incentives for buying fresh produce.

The governor didn’t say to ban fluoride in the drinking water, but forbids the state health department from recommending it. If the health department can’t endorse something as basic as fluoride to prevent cavities, then why even exist? And maybe that’s the point.

“Healthcare should be backed by science and carried out by healthcare providers with their patients. Preventive care, immunizations and regular wellness checks are vital in protecting an individual’s health.

Dr. Steven Crawford, Chairman of the Oklahoma Alliance for Healthy Families.

Oklahoma doctors will continue advocating for the health and healthcare of our citizens and I hope the physicians in your area do the same.

Please learn about healthcare issues in your state. Feel inspired to do your part to keep your family and community healthy. I use these sources for state and national healthcare news.

KFF Health News

Health Care-News From The States

Exploring the HEART of Health

Here’s the link to listen to Oklahoma!, my state song.

Oklahoma State Song and Anthem

I’d love for you to follow this blog. I share information and inspiration to help you turn health challenges into health opportunities.

Add your name to the subscribe box to be notified of new posts by email. Click the link to read the post and browse other content. It’s that simple. No spam.

I enjoy seeing who is new to Watercress Words. When you subscribe, I will visit your blog or website. Thanks and see you next time.

Dr. Aletha

Find my other posts on this topic, or any others you need information about.

You can watch the movie Oklahoma! on Amazon Prime at this link