Last July, shortly after president Trump announced the U.S. withdrawal from the Paris Climate accord, I wrote a piece for The News bemoaning the slow progress that has been made in addressing global climate change and controlling greenhouse gas emissions (charlottenewsvt.org/2017/07/26/health-matters-time-new-climate-change-message). Since I wrote that column, Scott Pruitt, the current EPA administrator, has followed through on the president’s threat to roll back the Clean Power Plan reducing carbon emissions from coal fired power plants, announced plans to delay rules aimed at setting fuel efficiency standards for cars and trucks, attacked rules limiting methane emissions from oil and gas wells and attacked efforts to set appliance efficiency standards. This has occurred with little if any adverse political consequences for the protagonists and only a tepid response from environmentalists and public health advocates.