Florida Surgeon General Dr. Joseph Ladapo speaks during a public event in May 2025 in Miami.Lynne Sladky/AP
Today, the Florida Legislature will vote on a bill that would make it significantly easier for parents to skip their children’s routine childhood vaccinations. The bill would allow exemptions “based on the parent’s religious tenets or practices or conscience,” meaning essentially that parents would no longer need to demonstrate medical or religious reasons for exemptions. Any ideological objection would be considered a valid reason to forgo shots that prevent potentially deadly diseases such as polio, tetanus, and measles.
The proposed changes are the latest salvo in Florida’s war against public health doctrine, from its chafing against pandemic restrictions to its flouting of guidelines around water fluoridation, restrictions for SNAP benefits, and erosion of vaccine requirements. The driving force behind this crusade is state Surgeon General Dr. Joseph Ladapo, whom I wrote about with my former colleague Julianne McShane last year.
Ladapo’s approach to vaccine policy may also be informed by a set of beliefs that sit somewhere between libertarianism and new age mysticism.
During the pandemic, Ladapo quickly made a name for himself with his contrarian approach. On his first day in office in September 2021, he formalized a rule that allowed parents to choose whether to follow school mask guidelines. Later that year, he issued a report recommending against Covid vaccines for healthy children, which flouted Centers for Disease Control and Prevention guidelines. In 2023, he asked the Food and Drug Administration to stop all Covid vaccines, components of which he claimed could “transform a healthy cell into a cancerous cell.” (The FDA called those statements “misleading.”) In 2024, during a measles outbreak, he issued a statement announcing that the state would be “deferring to parents or guardians to make decisions about school attendance” instead of following the CDC’s 21-day quarantine guidelines. Last fall, Ladapo and Florida Gov. Ron DeSantis announced their goal to eliminate vaccine mandates from state laws.
Ladapo, who didn’t respond to our request for comment for this story, became surgeon general after a career in public health that included MD and PhD degrees from Harvard and tenures at prestigious hospitals. But as our previous investigation uncovered, his approach to vaccine policy may also be informed by a set of beliefs that sit somewhere between libertarianism and new age mysticism. In his memoir, he chronicles his ongoing relationship with a charismatic guru and former Navy SEAL named Christopher Maher, whose treatments profoundly influenced Ladapo’s worldview. In 2019, Ladapo’s wife, Brianna, urged her husband to sign up for sessions with Maher. “Thank the Lord I listened,” he writes in his memoir, “because after working with him, I finally became truly free.”
[Maher’s] online bio says he has training in traditional Chinese medicine, but the treatments he offers appear to be something else entirely. He describes one of them, “Body of Light,” as “a verbal, energetic, transmutation process that allows the body, brain, and nervous system to locate, transmute, and discharge negative generational stress, tension, and distortion-inducing patterns.”
Another, which he calls “Sha-King” medicine, “directly addresses complex stress patterns by improving subtle energetic health by shaking (‘sha-king’) the entire body in random, non-specific movements that are out of syncopation.”
Ladapo writes that some of his sessions with Maher consisted of Maher marching up and down his back.
The discomfort I experienced as he stomped on me was intense, and I went from feeling acute pain to feeling a sense of enjoyment, and—as incredible as it must sound—at one point, I even felt like a tiger. Christopher explained that this was my spirit animal. As I learned from him, Ma Xing engages the urinary bladder channel, which is the master channel in Chinese meridian theory. Further, he explained that this channel has access to every aspect of a human being’s behavior and thoughts, including their mind, brain, physical being, spiritual energy, and emotional intelligence.
The sessions were, Ladapo recalls, “the closest thing to a ‘miracle’ I have ever experienced in my life.”
Ladapo writes that his wife is another profound influence on his life and work. She once described herself as an “Energetic Healer, Certified Naturopath, Movement Therapist, and Integrative Health and Wellness Coach.” Brianna has also written a memoir in which she recalls her own journey of transformation with Maher.
The “most profoundly important” lesson she learned from Maher, though, was the revelation that people choose all the things that happen to them, both positive and negative, to fulfill the divine purpose of their soul. “I chose to incarnate into an unhappy family,” she writes, because “that situation best supported the lessons my soul was seeking this time around.” Her family, she realized, “volunteered to play their respective roles in my life for the purpose of triggering my reawakening.”
Even children, she writes, choose the harm that they experience. In fact, some children opt for “lives of sacrifice,” an insight that emerged from a vision she had of herself as a young mother with three children, each of whom she was forced to watch get burned alive at the stake. She and her daughters had chosen for that to happen to them “in that specific way, in order to highlight the atrocity of that practice [of burning people at the stake] and encourage its retirement.”
As Julianne and I wrote, Brianna’s beliefs offer a possible explanation for Ladapo’s approach to vaccine policy.
If you believe that people—including children—choose their own suffering for obscure reasons connected to reincarnation and energetic vibrations, you might not be so concerned with the potential harms of ushering in a new age of infectious disease. Ladapo’s book also helps explain his thinking. If vaccines and masks are not considered prudent treatment and prevention efforts but, instead, manifestations of fear, it’s much easier to disparage them.
It’s impossible to know for sure what informed Ladapo’s thinking on parental exemptions and vaccines. But it’s clear that the policies he’s helped shape could transform the state’s, and country’s, relationship with preventable illnesses. Florida’s bid to loosen restrictions on vaccine exemptions comes as cases of measles are increasing across the country. Nationwide, there were 1,792 confirmed cases as of last week, making this the largest outbreak of the disease since the US declared it eradicated in 2000. With 153 cases this year and last, Florida has the fourth-highest case count of all states, behind South Carolina, Utah, and Texas. That number could surge if the Florida Legislature passes its new bill and more parents opt out of vaccination.