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"From drugmakers to doctors’ organizations, groups thought to have the clout to steer policy and funding in Washington because they enjoyed bipartisan support and huge lobbying budgets have remained silent about Kennedy. They haven’t spoken up even though he has accused them of fraud and conspiracy, and promised to hold them accountable.

"That’s not because they aren’t worried, but because they didn’t think they could stop him — or think the cost of speaking out would be too steep, five people representing health groups, granted anonymity to speak candidly, said. By staying mum, they hope to limit the fallout if Kennedy follows through on his plans to strip the industry to the studs."