The American Medical Association's House of Delegates voted to increase public pressure on Health Secretary RFK Jr. after months of trying to maintain a working relationship with him. This represents a shift from restraint to confrontation over Trump administration health policies. The move reflects broader physician dissatisfaction with RFK Jr.'s approach to public health. Some AMA members see this as choosing moral principle over potential access and influence with HHS, with concerns about possible retaliation and loss of political standing. The medical establishment appears willing to signal it may escalate its public criticism going forward, though the extent of financial or other costs remains uncertain.