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31 January 2025

Kennedy Battles Spasmodic Dysphonia At Senate Hearings

The U.S. Health nominee shares his struggle with rare voice disorder and treatments during confirmation process.

Robert F. Kennedy Jr. has recently made headlines not only for his political aspirations but for candidly addressing his health challenges during Senate confirmation hearings. On January 29, 2025, he stood before the Senate as part of President Donald Trump's nomination for the U.S. Department of Health and Human Services. Throughout his appearance, viewers noted the 71-year-old's distinctive voice, which has been considerably affected by his battle with spasmodic dysphonia, a rare neurological disorder he was diagnosed with back in 1996.

Speaking during a news segment, Kennedy shared, "I had a very very strong voice until I was 46 years old. It was unusually strong," referring to the drastic change brought on by the disorder. Spasmodic dysphonia causes involuntary spasms of the vocal cords, leading to symptoms like breathy or strained voice, which may leave those affected feeling like they've lost their ability to communicate.

According to the Cleveland Clinic, this debilitating condition impacts approximately 50,000 Americans and is characterized by its greater prevalence among women. Although it can start at any age, it typically manifests between the ages of 30 and 60. The exact cause remains elusive, but most cases arise from triggers within the brain and nervous system. The possibility of heredity is present, with some cases potentially linked to genetic mutations affecting similar disorders.

Although there is currently no definitive cure for spasmodic dysphonia, various treatments can alleviate its symptoms. Botox injections, administered every three to six months, along with speech therapy, are among common treatments. For more severe cases, patients may opt for surgical interventions like thyroplasty or selective laryngeal adductor denervation-reinnervation (SLAD-R). Kennedy, who has been open about his experiences, recently stated, "I think part of it was the surgery but also part of it was the therapies I’m doing now."

Having undergone significant surgery in Japan, which involved implanting titanium to prevent his vocal cords from constricting, Kennedy is hopeful about the progress he is making. He remarked on the changing quality of his voice, stating, "My voice now is getting stronger and stronger." This procedure is not yet available within the United States, highlighting the need for continued exploration of treatment options for this condition.

Kennedy’s presence and openness during the Senate hearings have offered both visibility and advocacy for those struggling with spasmodic dysphonia. His experience serves not only as motivation for others facing similar health issues but also as encouragement for political discussions addressing personal health matters within the public sphere.

Overall, Kennedy’s account exemplifies not just the struggles associated with health disorder challenges but the importance of shedding light on personal health issues, particularly when they intersect with national discussions around health policy. His candidness invites more dialogue about the significance of prioritizing health within government services and potential advocacy for improved healthcare access for individuals with neurological speech disorders.