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"We health professionals must call urgent attention to this silent but deadly assault on Americans health, work with broad coalitions to halt it, and ultimately rebuild the agencies, protections, and shared sense of trust and responsibility that have given us clean air and water and enabled us and our children to live longer, healthier lives." Cook noted that the NEJM itself has been a target of the administration, with Kennedy calling highly respected, science-based journals "corrupt" and the Department of Justice questioning the publication's editorial integrity

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