Epstein's Personal Physician Was Trump's Shadow Health Policy Gatekeeper

Eight days after Donald Trump's inauguration, Jeffrey Epstein received a detailed briefing via iMessage about Bill Gates's views on the new administration's health policy. The conversation, extracted from Epstein's MacBook and released as part of the EFTA document trove, contains a single sentence that connects three of the most powerful networks in American politics.

"Trumps health guy is Moscowitz z palm beach," Epstein wrote on January 28, 2017 (EFTA01617434).

The other participant -- identified by WIRED as Melanie Walker, a physician who worked for the Bill & Melinda Gates Foundation -- responded: "Moscowitz the internal medicine doctor!"

Epstein confirmed: "Yes. He's all things medical to Donald."

Then came the instruction that ties the whole thread together: "Tell BG. One day I look forward to his freedom having served a long sentence."

Who Is Bruce Moskowitz?

Dr. Bruce Moskowitz is a Palm Beach internist who operated a concierge medical practice at 1411 North Flagler Drive, Suite 7100, West Palm Beach. He appears in the EFTA records as Epstein's personal physician, ordering lab work, arranging specialist visits, and managing Epstein's ongoing medical care.

The documentary record is extensive. Quest Diagnostics lab reports from November 2016, January 2018, and August 2018 all list Moskowitz as the ordering physician for Epstein's bloodwork -- lipid panels, calcium, PTH, C-reactive protein, and other routine screenings (EFTA00304603, EFTA00282998, EFTA00304997, EFTA00314225).

A separate fax cover sheet from Harry Fisch, M.D., a Park Avenue urologist, shows lab results from July 2016 being forwarded to Moskowitz's office, indicating Moskowitz coordinated Epstein's care across multiple specialists (EFTA01733939).

The relationship extended beyond routine checkups. In a November 23, 2017 iMessage exchange, Epstein texted Moskowitz asking: "What was the blood thinner to take in case of heart attack?" and "Is you Mara largo dinner tonight" (EFTA01613859).

Moskowitz replied: "325 mg aspirin however kit has blood thinner for blood clots of leg. We are at home with 20 of family cooking if you can come let us know."

The texts continued over several days. On November 29, Epstein asked about "Metformin downside?" Moskowitz responded: "For diabetes or aging or opioids?" and noted: "Your hbalc is 5.4 prediabetic is over 6." On December 5, Epstein texted: "Landed in PB for day, can I come and get blood test. Pth phosphate D, etc if so time?" Moskowitz replied: "1245 or 345."

In June 2018, Moskowitz emailed Epstein with information about "Emergency Concierge Medicine in Paris," providing the contact information for SOS Medecins, an English-speaking physician service for private residences and hotels (EFTA02580156).

In June 2015, Moskowitz arranged a detailed itinerary for Epstein to visit the Mayo Clinic campus in Rochester, including meetings with Dr. David Hayes and a tour of the Healthy Living Program (EFTA01744640).

Emergency Room Equipment for Little Saint James

On May 22, 2019, Epstein's staff emailed him a "2019 LSJ Punch List Updated to List Jeffreys Priorities First." The list covered infrastructure needs for Little Saint James and Great Saint James islands. Priority #1 was "3 Oxygen Tanks: Master Kitchen, Karyna's Office, Ambulance." Priority #2 was explicit: "EKG Machine for Emergency Room" (EFTA00495578).

According to the Post Bulletin, on May 31, 2019, Epstein texted Moskowitz: "Emergency room equipment?" Moskowitz responded that he would "discuss with Clayton Cowl who is in charge of this at Mayo and designs for private planes and yachts." On June 6, Moskowitz followed up: "Clayton cowl reaches me this am if you are interested he does consulting and set up."

Epstein was arrested on July 6, 2019 -- roughly one month after these discussions about outfitting a private emergency room on an island in the U.S. Virgin Islands.

The Shadow Rulers of the VA

While Moskowitz was ordering Epstein's lab work and sourcing ER equipment for his island, he was simultaneously operating as one of three Mar-a-Lago members who effectively controlled Veterans Affairs health policy.

ProPublica's August 2018 investigation identified the "Mar-a-Lago Trio" as Moskowitz, Ike Perlmutter (chairman of Marvel Entertainment), and Marc Sherman (a lawyer at Alvarez & Marsal). None held government positions. None had been confirmed by the Senate. None had meaningful healthcare or veterans experience beyond Moskowitz's medical practice.

Yet the documentary record shows they spoke with VA officials daily, reviewed personnel decisions, and joined weekly 7:30 AM conference calls. VA officials traveled to Mar-a-Lago at taxpayer expense to hear their views. One administration official told ProPublica: "Everything needs to be run by them. They view themselves as making the decisions." A former official added: "On any veterans issue, the first person the president calls is Ike."

A Reuters photograph from December 28, 2016 shows Steve Bannon and Dr. Bruce Moskowitz arriving at Mar-a-Lago on the day Trump convened healthcare executives at the club (HOUSE_OVERSIGHT_019212).

FACA Violations and Congressional Investigation

On September 27, 2021, Representatives Carolyn Maloney and Mark Takano released documents showing the VA's own Office of General Counsel had warned in January 2017 that "it appears FACA may be implicated" -- a reference to the Federal Advisory Committee Act, which requires transparency for outside groups advising federal agencies. White House aide Reed Cordish told Perlmutter in April 2017 to "form a FACA group." The trio refused.

Internal communications revealed the trio's awareness of legal exposure. Moskowitz wrote in February 2017: "I did not want to send email on talking points... We are still unsure what can be put in emails."

Jared Kushner had introduced Perlmutter to VA officials on January 19, 2017, saying he "is someone we trust 100%." Ivanka Trump used her personal email account to introduce the trio to CEOs of Johnson & Johnson, Apple, and CVS Health.

The D.C. Circuit Court found in March 2021 that allegations "suffice to identify the trio as forming an advisory group for purposes of FACA."

The Patient Data Monetization Scheme

ProPublica later revealed that consultant Terry Fadem, who worked for Moskowitz, had proposed selling access to VA patient medical records. Fadem wrote in June 2017: "Patient data is the most valuable assets the VA has" and "It can be leveraged into hundreds of millions in revenue."

Moskowitz reportedly told colleagues that Johnson & Johnson "wants the VA databank and biobank which will be hugely profitable to them." VA Secretary David Shulkin "liked the idea." A J&J presentation outlined working through "legal barriers on getting access to VHA EMR databases."

Congressional investigators found no evidence the trio would have profited personally, but the proposal to monetize the medical records of millions of veterans, advanced by the same physician managing Epstein's personal health, raises fundamental questions about conflicts of interest.

The Epstein-Gates-Trump Triangle

The January 28, 2017 iMessage is the document that connects all three threads. In a single conversation:

Epstein demonstrates intimate knowledge of Trump's health policy apparatus, naming Moskowitz as "Trump's health guy" and describing his authority: "Moscowitz has Donald, Price is administrative" -- referring to HHS Secretary Tom Price.

The other participant relays Bill Gates's wish to "understand admin" and have "insider baseball" through a "trusted third party" since "he is watched very closely."

Epstein instructs: "Tell BG."

A separate June 2014 email to Epstein, subject line "Not a good idea to tell bg yet," further documents the Epstein-Gates channel: "We can talk but need to wait a few weeks. Will plan to tell August 1. October exit for me" (EFTA02349564).

And a September 2011 email from Epstein to Sultan bin Sulayem about Clomid and testosterone production -- with Moskowitz's name appearing on the lab work -- shows the physician-patient relationship stretching back years before the Trump administration (EFTA01856801).

What the Documents Show

The EFTA records contain 4,371 document links to Bruce Moskowitz in our database. They paint a picture of a physician who was simultaneously:

1. Managing Epstein's personal medical care from at least 2015 through his arrest in 2019
2. Operating as Trump's informal gatekeeper for all health policy decisions
3. Known to Epstein as occupying both roles -- and leveraging that knowledge in conversations with a Bill Gates adviser

No public reporting has previously connected these three documentary threads. Moskowitz has not been charged with any crime. He has not spoken publicly about his relationship with Epstein.

The documents speak for themselves.