
If you’ve heard of hepatitis, you probably know it has something to do with the liver. But there’s a whole family of hepatitis viruses, each with its own personality when it comes to how it spreads, what it does to your body, and how we can prevent or treat it. Let’s walk through the three most common types—hepatitis A, B, and C—and then dive into a controversy that’s making headlines right now: the hepatitis B vaccine.
What Is Hepatitis, Anyway?
At its core, hepatitis just means inflammation of the liver. Your liver is a workhorse organ that filters toxins, produces essential proteins like albumin, processes amino acids, and stores energy. When a hepatitis virus attacks it, the inflammation can range from a minor inconvenience to a life-threatening condition. The three main culprits—hepatitis A, B, and C viruses—are completely different organisms that just happen to target the same organ.
Hepatitis A: The Food and Water Troublemaker
Hepatitis A is often called “traveler’s hepatitis” because it spreads through food and water that are contaminated with fecal matter. Think of it as the virus you might pick up from eating unwashed produce, drinking contaminated water, or consuming raw shellfish from polluted waters. Other risk factors include unprotected sex and IV drug use. According to the CDC, there were an estimated 3,300 acute infections in 2023 in the United States.
The good news about hepatitis A is that it typically heals itself within 2 months. When symptoms appear—which take about 15 to 50 days after infection—they can include jaundice (that yellowing of the skin and eyes), fever, fatigue, nausea, and dark urine. Many young children don’t show any symptoms at all. The virus doesn’t become chronic, and once you’ve had it, your body produces antibodies that protect you for life.
Prevention is straightforward: there’s a safe and effective vaccine, and basic hygiene goes a long way. Wash your hands thoroughly, especially after using the bathroom and before preparing food. When traveling to areas with questionable water quality, stick to bottled or boiled water and avoid washing raw food in local water.
Treatment is mostly supportive—rest, fluids, and time. Your liver does the healing work itself.
Hepatitis B: The Blood and Body Fluid Virus
Hepatitis B is where things get more serious. This virus spreads through blood and other body fluids, which means it can be transmitted through sexual contact, sharing needles, or from mother to baby during childbirth. Healthcare workers are especially at risk from needle sticks and sharps injuries. It’s a highly infectious and tough virus that can live on surfaces for up to a week. Even tiny amounts of dried blood on seemingly innocent things like razors, nail clippers, or toothbrushes can potentially spread the infection.
According to the CDC, there were an estimated 14,400 acute infections in 2023, Approximately 640,000 adults were living with chronic hepatitis B during the 2017-2020 period and that’s what makes it particularly concerning: while the hepatitis B virus often causes short-term illness, it can become chronic.
The incubation period is long—typically 90 days with a range of 60 to 150 days. When symptoms do appear, they mirror hepatitis A: jaundice, fatigue, abdominal pain, nausea, and dark urine. But here’s the frightening part: most young children and many adults show no symptoms at all, meaning they can spread the virus without knowing they’re infected.
The chronic infection risk varies dramatically by age. If you’re infected as a newborn, you have a 90% chance of developing chronic hepatitis B. For adults, the risk drops to under 5%. Those with chronic infection face serious long-term consequences—15% to 25% of people with chronic infection develop serious liver disease, including cirrhosis, liver failure, or liver cancer.
Treatment for acute hepatitis B is supportive, but several antiviral medications are available for people with chronic infection. These don’t completely eradicate the disease but produce a “functional cure” that significantly slows liver damage and reduces complications.
Prevention is critical. There’s a highly effective vaccine—we’ll talk more about the controversy surrounding it in a moment. Avoiding exposure to infected blood and body fluids is essential. This means safe sex practices, never sharing needles or personal care items that might have blood on them, and ensuring proper sterilization of medical and tattooing equipment.
Hepatitis C: The Silent Epidemic
Hepatitis C is transmitted primarily through blood-to-blood contact. The most common route is sharing needles among people who inject drugs, though it can also spread through contaminated medical equipment, and rarely through sexual contact. Mother-to-child transmission during childbirth is possible but uncommon. Screening of blood products has made transfusion related infections rare. About 10% of cases have no identified source.
What makes hepatitis C insidious is its stealthy nature. Many people with hepatitis C don’t have symptoms, and acute hepatitis with jaundice is rare, occurring in only about 10% of infections. The symptoms that do appear—fatigue, mild flu-like feelings—are easily dismissed. Meanwhile, the majority of people (60-70%) develop chronic infection. I recommend a screening blood test at least once for all adults over age 55, as they are the group most likely to have hepatitis C without an identifiable source.
The incubation period ranges widely, from 2 weeks to 6 months, typically 6 to 9 weeks. Without treatment, chronic hepatitis C can lead to cirrhosis and liver cancer over decades. Before modern treatments, it was a leading cause of liver transplants.
Treatment for hepatitis C has undergone a revolution. The old approach—interferon injections combined with ribavirin—had terrible side effects and worked in only about half of patients. Today, we have direct-acting antivirals (DAAs), which can cure more than 95% of cases with just 8-12 weeks of well-tolerated oral medication. These drugs target specific proteins the virus needs to replicate, essentially starving it out of existence. The treatment is so effective that hepatitis C is now considered a curable disease.
Prevention focuses on avoiding blood-to-blood contact. Never share needles, syringes, or any drug equipment. If you’re getting a tattoo or piercing, ensure the facility follows proper sterilization procedures. Healthcare workers should follow standard precautions with blood and body fluids. Unfortunately, there’s no vaccine for hepatitis C yet, though researchers continue working on one.
The Hepatitis B Vaccine Controversy: What’s Really Happening
Now let’s address the elephant in the room—the recent controversy over the hepatitis B vaccine for newborns. This topic exploded in the news in December 2025, and it’s worth understanding what’s currently going on versus what the science says.
The Recent Development
On December 5, 2025, the CDC’s Advisory Committee on Immunization Practices (ACIP) voted 8-3 to recommend hepatitis B vaccination at birth only for infants born to mothers who test positive for the virus or whose status is unknown. This reverses decades of policy that recommended universal hepatitis B vaccination for all newborns within 24 hours of birth.
The Arguments For Changing the Policy
Some ACIP members raised concerns about vaccine safety and parental hesitancy. Committee member Retsef Levi heralded the move as “a fundamental change in the approach to this vaccine,” which would encourage parents to “carefully think about whether they want to take the risk of giving another vaccine to their child”. The controversy includes historical concerns about possible links between the hepatitis B vaccine and conditions like multiple sclerosis, autism, and other autoimmune disorders.
What Science Actually Shows
The evidence on vaccine safety is quite robust. Concerns about multiple sclerosis emerged in France in the 1990s. Since then, a large body of scientific evidence shows that hepatitis B vaccination does not cause or worsen MS. The World Health Organization’s Global Advisory Committee on Vaccine Safety has concluded there is no association between the hepatitis B vaccine and MS. It is one of the safest vaccines studied.
As for other safety concerns, CDC reviewed VAERS reports from 2005-2015 and found no new or unexpected safety concerns. The most common side effects are minor: soreness at the injection site, headache, and fatigue lasting 1-2 days.
Why the Universal Birth Dose Matters
The scientific and medical communities have strongly opposed this policy change. The American Academy of Pediatrics states that from 2011-2019, rates of reported acute hepatitis B remained low among children and adolescents, likely explained in part by the implementation of childhood hepatitis B vaccine recommendations published in 1991.
Here’s why newborns are so vulnerable: infected infants have a 90% chance of developing chronic hepatitis B, and a quarter of those will die prematurely from liver disease when they become adults.
The “just target high-risk babies” approach has a major flaw: the CDC estimates about 640,000 adults have chronic hepatitis B, but about half don’t know they’re infected. Before universal vaccination, about half of infected children under 10 got it from their mothers—the rest contracted it through other exposures not identified by maternal screening.
The Global Context
Claims that the U.S. is an outlier don’t hold up. As of September 2025, 116 of 194 WHO member states recommend universal hepatitis B birth dose vaccination. European countries that do not recommend a universal birth dose have a much lower hepatitis B incidence rate and more robust antenatal maternal screening. The majority still recommend vaccination at two to three months.
The Bottom Line
All three types of hepatitis pose serious health risks, but we have powerful tools to prevent and treat them. Hepatitis A and B have safe, effective vaccines that have dramatically reduced disease rates. Hepatitis C, while lacking a vaccine, is now curable with modern antiviral medications.
The hepatitis B vaccine controversy highlights a broader tension in public health: balancing individual autonomy with community protection. The scientific evidence strongly supports the vaccine’s safety and the effectiveness of universal newborn vaccination in preventing a disease that can be fatal. Multiple studies, decades of safety data, and recommendations from medical organizations worldwide back this up.
For parents making decisions about their newborns, the facts are these: hepatitis B is a serious disease with a high risk of becoming chronic in infants, the vaccine is highly effective at preventing infection, and extensive safety monitoring has found it to be safe with only minor, temporary side effects. As hepatitis research continues, we’re seeing remarkable progress—from the near-eradication of hepatitis A in vaccinated populations to the transformation of hepatitis C from a chronic, often fatal disease to a curable one. These advances remind us how far we’ve come in understanding and combating these liver viruses.
Sources
- Centers for Disease Control and Prevention (https://www.cdc.gov)
- World Health Organization (https://www.who.int)
- Cleveland Clinic (https://my.clevelandclinic.org)
- National Center for Biotechnology Information (https://www.ncbi.nlm.nih.gov)
- American Academy of Pediatrics (https://www.aap.org)
- PBS NewsHour (https://www.pbs.org)
- FactCheck.org (https://www.factcheck.org)
- Government of Quebec (https://www.quebec.ca/en/health/health-issues/stbbis/hepatitis-a-b-and-c)















Assessing the Trump-Orwell Comparisons: Warning, Not Prophecy
By John Turley
On January 23, 2026
In Commentary, Politics
The comparison between the Trump administration and George Orwell’s dystopian works has recently become one of the most prevalent political metaphors. one I’ve used myself. Following Trump’s second inauguration in January 2025, sales of 1984 surged once again on Amazon’s bestseller lists, just as they did during his first term.
These comparisons are rhetorically powerful, but their accuracy depends on how literally Orwell is read and how carefully distinctions are drawn between authoritarian warning signs and fully realized totalitarian systems. But how accurate are the comparisons? Let me walk you through the key parallels, the evidence supporting them, and the critical questions we should be asking.
Understanding Orwell’s Core Themes
Before diving into the comparisons, it’s worth revisiting what Orwell was actually warning us about. In 1984, published in 1949, Orwell depicted a totalitarian state where the Party manipulates reality through “Newspeak” (language control), “doublethink” (holding contradictory beliefs), the “memory hole” (historical revision), and constant surveillance by Big Brother. The novel’s famous slogans—”War is Peace, Freedom is Slavery, Ignorance is Strength”—exemplify how the Party inverts the very meaning of words.
Animal Farm, written as an allegory of the Soviet Union under Stalin, traces how a revolutionary movement devolves into dictatorship. The pigs, led by Napoleon, gradually corrupt the founding principles of equality, with Squealer serving as the regime’s propaganda minister who constantly rewrites history and justifies Napoleon’s increasingly authoritarian actions.
The Major Parallels
The most famous early comparison emerged during Trump’s first term when adviser Kellyanne Conway defended false crowd size claims with the phrase “alternative facts.” This triggered the first major 1984 sales spike in 2017. According to multiple sources, critics immediately drew connections to Orwell’s concept of manipulating language to control thought.
In the current administration, commentators have identified several Orwellian language patterns. The administration has restricted use of certain words on government websites—including “female,” “Black,” “gender,” and “sexuality”—reminiscent of how Newspeak aimed to “narrow the range of thought” by eliminating words. An executive order on January 29, 2025, titled “Ending Radical Indoctrination in K-12 Schooling” has been criticized as doublespeak, using the language of educational freedom while actually restricting what can be taught. Doublespeak has evolved as a way of combining the ideas of newspeak and doublethink.
Perhaps the most concrete parallel involves the systematic deletion of historical content from government websites. The Organization of American Historians condemned the administration’s efforts to “reflect a glorified narrative while suppressing the voices of historically excluded groups”. Specific documented deletions include information about Harriet Tubman, the Tuskegee Airmen (later restored after public outcry), the Enola Gay airplane (accidentally caught in a purge of anything containing “gay”), and nearly 400 books removed from the U.S. Naval Academy library relating to diversity topics. The Smithsonian’s National Museum of American History also removed references to Trump’s impeachments from its “Limits of Presidential Power” exhibit, which critics including Senator Adam Schiff called “Orwellian”.
Trump’s repeated characterization of political opponents as the “enemy from within” and the media as the “enemy of the people” parallels 1984’s Emmanuel Goldstein figure and the ritualized Two Minutes Hate sessions. One analysis suggests Trump leads Americans through “a succession of Two Minute Hates—of freeloading Europeans, prevaricating Panamanians, vile Venezuelans, Black South Africans, corrupt humanitarians, illegal immigrants, and lazy Federal workers”.
Multiple sources document that new White House staff must undergo “loyalty tests” and some face polygraph examinations. Trump’s statement “I need loyalty. I expect loyalty” echoes 1984’s declaration that “There will be no loyalty, except loyalty to the Party”. Within weeks of his second inauguration, Trump dismissed dozens of inspectors general—the internal government watchdogs. According to reports from Politico and Reuters, several have filed lawsuits claiming their removal violated federal law. An executive order titled “Ensuring Accountability for All Agencies” placed previously independent agencies like the SEC and FTC under direct White House supervision.
The Animal Farm Connections
While 1984 gets more attention, Stanford literature professor Alex Woloch argues that Animal Farm might be more relevant because “it traces that sense of a ‘slippery slope'” from democracy to totalitarianism, whereas in 1984 the totalitarian system is already fully established.
There are echoes of Animal Farm in the way populist rhetoric has framed liberals, progressive institutions, and the press as enemies of “the people,” while power was being consolidated within Trump’s narrow leadership circle. Orwell’s pigs do not abandon revolutionary language; they repurpose it. The “ordinary” supporters are exhorted to endure sacrifices and to direct anger at opposing groups, while political insiders consolidate authority and wealth—echoing the pigs’ gradual move into the farmhouse and adoption of human privileges. Critics argue that Trump’s sustained use of grievance-based populism, even while wielding executive power, fits this pattern symbolically if not structurally.
Other parallels being drawn to Animal Farm include Napoleon’s propaganda minister Squealer and the administration’s communication strategy of inverting reality and the gradual corruption of founding principles while maintaining revolutionary rhetoric like “drain the swamp”. They also are scapegoating political opponents and immigrants much as Napoleon blamed Snowball for all problems. They also are taking credit for others’ achievements just as Napoleon did with the other animals’ work. In the novel, Napoleon demands full investigations of Snowball even after discovering he had nothing to do with alleged misdeeds, much as Trump demanded investigations of Hillary Clinton, James Comey, Letitia James, and Jerome Powell while avoiding scrutiny of his own conduct.
As in Orwell’s farm, where the constant invoking of enemies keeps the animals fearful and loyal, the politics of permanent crisis and blame are being used to normalize increasingly aggressive behavior by those in power.
Critical Perspectives and Limitations
These comparisons raise several important concerns that deserve serious consideration. Orwell was writing about actual totalitarian regimes—Stalinist Russia and Nazi Germany—where millions died in purges, gulags, and genocides. The United States in 2026, despite concerning trends, still maintains functioning courts, elections, a free press, and a civil society. Some observers are warning against trivializing real authoritarian regimes by making overstated comparisons.
The Trump administration’s frequent attacks on the press, civil servants, and election administrators do resemble early warning signs Orwell would have recognized—not as proof of totalitarianism, but as a stress test on democratic norms.
Conservative commentators argue that these comparisons are exaggerated partisan attacks that misrepresent Trump’s actions. They point out that some court challenges to administration actions have succeeded, media criticism continues unabated, and political opposition remains robust—none of which would be possible in Orwell’s Oceania. The question becomes whether we’re witnessing isolated, though concerning actions or rather a systematic pattern—what Professor Woloch calls the “slippery slope” question.
One opinion piece suggested Trump’s actions resemble the chaotic, rule-breaking fraternity culture of “Animal House” more than the calculated totalitarianism of Orwell’s works—emphasizing bombast and spectacle over systematic control. This view argues that the MAGA movement is more “Blutonian than Orwellian,” driven by emotional appeals and personality rather than systematic thought control.
Where the Comparisons Are Strongest and Weakest
Based on my analysis, the comparisons appear most accurate in several specific areas. The pattern of language manipulation and redefinition—calling restrictions “freedom” and censorship “transparency”—closely mirrors doublespeak. The documented systematic removal of historical content from government sources directly parallels the memory hole concept. The dismissing of senior officials such as the head of the Bureau of Labor Statistics after an unfavorable jobs report, the wholesale firing of agency inspectors general and signaling that neutral experts should conform to political expectations mirrors the Orwellian demand for loyalty. The assumption of control of previously independent agencies, and pressure on courts to allow the administration’s consolidation of power have parallels in the total party control. Unleashing ICE agents on the general public and excusing the murder of protesters are chillingly similar to the thought police and the “vaporizing” of citizens in Oceana. Perhaps most strikingly, Trump’s 2018 statement “What you’re seeing and what you’re reading is not what’s happening” nearly quotes Orwell’s line: “The party told you to reject the evidence of your eyes and ears”.
The comparisons are most strained when they overstate the current reality by suggesting America has already become Oceania, while democratic institutions that were lacking completely in Oceania are still functioning in America. Unlike 1984’s Winston, Americans retain significant ability to resist and organize. There is no single state monopoly over information. State and local governments, and civil society remain vigorous and are often hostile to Trump. Additionally, some comparisons conflate authoritarian-sounding rhetoric with actual totalitarian control, which aren’t equivalent.
Speculation: The Trajectory Question
The pattern of actions I’ve documented—systematic information control, loyalty purges, attacks on institutional independence, and explicit statements about seeking a third term—suggests a consistent direction rather than random actions. If these trends continue unchecked, particularly combined with further erosion of electoral integrity, increased prosecution of political opponents through mechanisms like the “Weaponization Working Group,” greater control over media and information, and weakening of judicial independence, then the slide toward authoritarianism could accelerate. As I am writing this article, Trump continues to promote what he calls the “Board of Peace,” a proposed international organization that is an attempt to create a U.S.-led alternative to the United Nations. The scholar Alfred McCoy notes that Trump appears to be pursuing what Orwell described: a world divided into three regional blocs under strongman leaders, with weakened international institutions.
However, several factors may counter this trajectory. Strong civil society and activist movements continue organizing opposition movements. Independent state governments push back against federal overreach and robust legal challenges have blocked numerous executive actions. The free press continues investigative reporting despite attacks. Congressional resistance still exists—even Senator Booker’s 25-hour speech on constitutional abuse entered the Congressional Record as a permanent historical marker.
My speculation is that the most likely outcome is neither complete Orwellian dystopia nor a comfortable return to democratic norms, but rather what political scientists call “competitive authoritarianism” or “illiberal democracy”—where democratic forms persist but are increasingly hollowed out, opposition exists but faces systematic disadvantages, and truth becomes increasingly contested. The key question isn’t whether we’ll replicate 1984 exactly, but whether enough democratic safeguards will hold to prevent sliding further into authoritarianism. One observer standing before a giant banner of Trump’s face in Washington noted that “Orwell’s world isn’t just fiction. It’s a mirror—reflecting what happens when power faces no resistance, when truth bends to loyalty, and when silence becomes the safest response”.
The Bottom Line
The Orwell comparisons aren’t perfect historical analogies, but they’re not baseless partisan rhetoric either. They identify genuine patterns of authoritarian behavior that merit serious attention—the manipulation of language to distort reality, the systematic rewriting of historical narratives, the demand for personal loyalty over institutional integrity, and the rejection of shared factual reality. I am concerned about the increasing use of Nazi inspired phrases and themes by members of the Trump administration. Most recently, Kristy Noam’s use of the phrase “one of us-all of you”. While not a formal written Nazi policy, it reflects their practice when dealing with partisan attacks in occupied countries and can only be viewed as a threat of violence against American citizens.
Whether these patterns represent isolated troubling actions or the beginnings of systematic democratic erosion remains the crucial—and still open—question. As Orwell himself noted, he didn’t write to predict the future but to prevent it. The value of these comparisons may ultimately lie not in their precision as historical parallels, but in their power to alert citizens to concerning trends before they become irreversible.
Key Sources
Full disclosure: I recently bought a hat that says “Make Orwell Fiction Again”.