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I doubt any of these, with the possible exception of Massie, plays any significant role in a Trump administration, to wit:
RFK isn't going to be the next FDA Commissioner. His opinions might be popular among a certain portion of Trump's base, but they aren't popular among the GOP senators who have to confirm him. His complete lack of qualifications for the position give cover to any Republican looking to vote against his confirmation, and it's hard for me to see a vaccine hawk like Jim Justice voting for him in any event. If he gets anything, it's likely to be some made-up position that doesn't require Senate confirmation where he's given a title but no power, no budget, and no staff. He'll do this for 6 months or a year until he realizes it's pointless and resigns. Then he does the usual song and dance about how Trump doesn't really believe in his cause and cast him aside after making grand promises.
The chances of Tulsi getting a cabinet position like Secretary of State or Defense or National Security Advisor are even lower than those of RFK being FDA Commissioner. The Republican PArty, Trump's base included, is still dominated by people who supported Bush's foreign policy. Trump's stated pacifism is attractive to a growing number of people, but the average Republican is still more Bellicose than the average Democrat. A lot of older Republicans I talk to still criticize Obama's Iraq pullout. I've had countless arguments about why invading Iran isn't a good idea. Tulsi's a known Assad apologist, yet just prior to Trump's ascension Republicans were criticizing Obama for not taking action in Syria. Combine that with Trump's fixation on "looking tough", and someone like Tulsi is a nonstarter. I'd be surprised if she gets any position at all.
Like I said, this one has a decent chance of happening. That being said it only has a chance of happening because Massie is at least a sitting Republican congressman, and it's a position where he can't do much damage. Raw milk availability is largely a state-level issue, it doesn't break along partisan lines, and removing Federal regulations would only have a small effect on a market that's already tiny (most of the raw milk consumers I know buy it specifically because it's local).
I'm going to lump Ron Paul together with Elon Musk, whom you didn't mention, because it's pretty clear that the only role either of these guys would have would be in reducing government waste. It's also clear that neither of them would have a full-time position. Paul is 89 an retired, and Musk has to run something like 50 companies. My guess is they'll co-chair a bipartisan blue-ribbond panel on government waste and inefficiency which produces a pretty report showing that we could reduce the deficit by 0.3% if we cut these 9,000 programs, which report is presented to congress and promptly filed circularly after each legislator finds something in there that benefits his district.
The problem with a lot of this speculation is that it involves fringe figures who are hoping that profile will substitute for actual influence. People like John Barrasso and Thom Tillis don't want to see people who are further to the left than most Democrats placed in positions of power because they flattered Trump's sense of appealing to a broad coalition. In 2016 there was a lot of talk about Trump appointing Giuliani Secretary of State, and giving people like Steve Bannon and Sarah Palin prominent roles. Giuliani, loyal past the point of any logical sense, had to settle for Trump's personal attorney, and that was before he tanked his reputation. Bannon's career in the White House lasted approximately 20 minute, and Palin was never under serious consideration. Trump has a pattern of bringing people into his fold and making promises (or at least suggestions) that he conveniently forgets when it's time to actually pick someone.
There's some speculation that he might act differently this time because in 2016 he was too reliant on establishment advisors whose choices ended up burning him, and that he may choose to chart his own course this time. I don't think this is possible for two reasons. First, everyone listed above has locked horns with Trump in the past, and three of them are former Democrats whose stated views are still more liberal than the median Republican. There's no reason to believe that either Kennedy, Gabbard, or Musk would be any more of a Trump sycophant than Rex Tillerson or Mark Esper. Second, any position that comes with real power needs Senate confirmation, which makes most of these people total nonstarters.
I think you misunderstood the issue. The anti-vaxx portion of the base is very vocal and they won’t hesitate to primary a senator blocking RFK from the FDA. O I’m not sure about Gabbord, simply because I don’t know much about her or the base’s opinion of her. But the thing here is that the people putting Trump in office want to put those types of people in to secure an actual victory, and they’re not shy about insisting on the changes they fought for.
Honestly, I think Trump's election is actually going to pacify that part of the base to the point where they become much less decisive in primaries. The tea party people activated out of dissatisfaction with the ruling party-- at the time, obama. But Trump is going to claim the economy is good, the immigrants are out, and the woke agenda has been destroyed... and they're going to believe him, regardless of any of the facts on the ground. The traditional midterm apathy is going to favor opponents of trump, disgruntled with the status quo.
They’ll be pacified (and this is true of much of trumps base) if the state allows them to actually win. What you saw on Tuesday was a Revolution, and the people who won are going to insist on actually winning and not symbolic victories. They want Trump to clean house, they want the deep state brought to heel, they want their agenda to happen. And unlike the last time, the6 won’t take no for an answer.
The person who won is an elderly, lazy reality TV star with somewhat idiosyncratic political views with a long history across multiple careers of not honouring obligations to people who helped him out. He isn't seeking re-election and doesn't have a plausible dynastic successor (the Kushners don't want it, Don Jr and Eric aren't up to it, and Barron is a long way from 35) so he doesn't need you for anything.
The people who think they won will have exactly as much say as Trump (or whoever controls access to him if he becomes too senile to make decisions) wants them to. They can say they won't take no for an answer, but they say what they want and Trump does what he wants.
FWIW, my best guess is that both the upside and downside potential of the Trump administration will be limited by Trump's laziness and lack of attention to detail. This is what we saw in his first term, and also what we saw with Boris Johnson in the UK, who is a somewhat similar character.
He’s head of a movement though. And the movement is not a bunch of limp wristed hand wringing party loyalists. They support Trump as the guy who’s there to basically clean house of the establishment and in their view restore the republic to its glory days. They aren’t going to sit home and do nothing if that establishment doesn’t allow the changes to happen. They’re at minimum going to attempt (probably successfully) to primary any republicans who don’t give them what they want. And that’s if they’re nice. We also have a fairly good sized militia contingent who might not be so nice about it.
Trump is perhaps irrelevant except as figurehead. JD Vance is probably more aligned with the movement as I see it, and he’s definitely going to work to implement MAGA and Project 2025
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If we're talking the COVID vaccine, that ship has sailed. Bringing up 2021 policy concerns in 2026 isn't going to cost anyone their office. If you're talking vaccines in general, I doubt the antivax Republicans are large enough to primary anyone for any reason, let alone lack of a confirmation vote. And keep in mind that they only need a few Republican votes, and 13 GOP Senators won't be facing reelection until 2030. Ultimately, though, it won't matter, because Trump isn't even going to nominate the guy.
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