In a significant shift in health policy management, RFK Jr. has proposed scrapping public comment requirements associated with major decisions made by the Department of Health and Human Services (HHS). This move includes a new rule that bars public commentary on HHS rulemaking and a rollback of transparency practices regarding Medicaid and NIH changes. Critics argue that this decision undermines public involvement and transparency in health regulations. The recent actions also eliminate existing public comment requirements for various agency functions, prompting concerns about the implications for democratic engagement in health policy formulation.