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u.s. department of health and human services
'Absolute Bloodbath' as Trump Administration Eviscerates Federal Health Agencies
"There is no way this makes Americans healthier."
Apr 01, 2025
HIV prevention. Anti-tobacco advocacy. The safety of mining workers.
All are among the health priorities that evidently have no place in U.S. President Donald Trump and Health and Human Services Secretary Robert F. Kennedy's vision to "Make America Healthy Again," following the mass firing of 10,000 people at the nation's top health agencies on Tuesday.
The layoffs hit the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA), with some staffers informed of their dismissal after they arrived at work—only to be told to return home.
Kayla Tausche at CNN reported that laid off employees at the HHS building in Rockville, Maryland were forced to do a "walk of shame" past dozens of their former colleagues who were lined up outside the building, waiting to learn their own fate.
The employees who were laid off Monday evening into Tuesday are the latest of more than 100,000 federal workers who have lost their jobs since Trump took office and placed billionaire tech mogul and megadonor Elon Musk at the help of the so-called Department of Government Efficiency. Last week, Kennedy said the federal health agency workforce would be reduced from about 82,000 to 62,000 people, with the restructuring making room for what he called "the Administration for a Healthy America" at HHS.
"We're going to do more with less," said the secretary, who has expressed skepticism about the scientifically proven benefits of vaccinations and claimed without evidence that the rate of chronic disease rose over the four years that former President Joe Biden was in the White House.
Kennedy said last week that communications for the health agencies would be brought under his control in the "restructuring," and many of the layoffs impacted people responsible for relaying information to the public.
Twenty people who handle public communications for one National Institutes of Health (NIH) program analyzing the genes of volunteers for health research were among those placed on administrative leave Tuesday—a precursor to being laid off, one official toldUSA Today.
The FDA's Office of Media Affairs was also disbanded, as well as most of the 50-person communications team for the agency's Center for Drug Evaluation and Research, which manages information on drug approvals, shortages, and potential risks.
"The general public likely won't feel the results of these HHS layoffs immediately," said Larry Levitt, executive vice president of KFF. "But eventually, these layoffs will affect the health information available to people, access to care and prevention, and oversight of health and social services."
Other impacted employees include those in internal agencies focused on the health of senior citizens, people with disabilities, and minority communities, and workers studying asthma, lead poisoning, radiation damage, and the health effects of extreme heat and wildfires.
The administration appeared to see HIV prevention as a key target, placing the director of the National Center for HIV, Viral Hepatitis, STD, and TB Prevention on administrative leave and dismantling teams that do HIV research and surveillance.
Despite his claims last week about wanting to fight chronic disease, Kennedy did not outline plans to better equip the federal government to fight heart disease, diabetes, and other chronic conditions. At the CDC, The New York Times reported Tuesday, "entire departments studying chronic diseases and environmental problems were cut."
In a post on LinkedIn on Tuesday, former FDA Commissioner Robert Califf, who served under Biden and former President Barack Obama, said the agency "as we've known it is finished" and warned the federal government was losing critical institutional knowledge by firing thousands of people.
"I believe that history will see this [as] a huge mistake," said Califf. "I will be glad if I'm proven wrong, but even then there is no good reason to treat people this way. It will be interesting to hear from the new leadership how they plan to put 'Humpty Dumpty' back together again."
Journalist Sam Stein of The Bulwarkcalled the mass firings "an absolute bloodbath" with a "generation of scientists, healthcare officials being wiped out."
Brown University professor Dr. Craig Spencer said the country "will regret this."
"These are the people who make sure the medications you and your children take are safe. These are the people who perform and oversee research on cancer, infant health, and so, so, so much more. These are the people who make sure new devices that physicians and patients use are effective," said Spencer. "And now, thousands of them are gone. There is no way this makes Americans healthier."
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Trump Administration Slammed for Slashing $12 Billion in Funding for State Health Services
"These are not people who want to make America healthy," said one advocate for people with disabilities. "They want to make the sick disappear."
Mar 26, 2025
The U.S. Department of Health and Human Services canceled more than $12 billion in federal funding for state health departments across the nation, money that is used to track infectious diseases and provide mental health services, addiction treatment, and other critical care.
NBC Newsreported Wednesday that $11.4 billion of the canceled grants were earmarked by the Centers for Disease Control and Prevention (CDC) for state and community health departments, nongovernmental organizations, and international recipients following the Covid-19 pandemic. Around $1 billion worth of grants are being pulled from the Substance Abuse and Mental Health Services Administration.
"The Covid-19 pandemic is over, and HHS will no longer waste billions of taxpayer dollars responding to a nonexistent pandemic that Americans moved on from years ago," Andrew Nixon, a spokesperson for the Department of Health and Human Services said in a statement. "HHS is prioritizing funding projects that will deliver on President [Donald] Trump's mandate to address our chronic disease epidemic and Make America Healthy Again."
This is just stunning. HHS has abruptly canceled more than $12 billion in federal grants to states that were being used for tracking infectious diseases, mental health services, addiction treatment and other urgent health issues.
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— Charles Ornstein ( @charlesornstein.bsky.social) March 26, 2025 at 1:36 PM
However, experts point to the certainty of future pandemics—like an avian flu strain that mutates to pass between humans—in urging public health policy planners to maintain or even increase preparedness and response funding.
NBC News reported that the 13 agencies overseen by HHS were sent notices starting Monday, which informed them that they have 30 days to reconcile their expenditures.
For some state and community healthcare providers, the effects of the cuts were immediate.
There was an abrupt $11B cut to local/state public health (PH) infrastructure yesterday. I don't think people realize what this means: -Want an updated system to check your immunizations instead of digging through docs? PH no longer able to carry out upgrades to immunization information systems
— Katelyn Jetelina ( @kkjetelina.bsky.social) March 26, 2025 at 11:34 AM
As The New York Timesreported:
In Lubbock, Texas, public health officials have received orders to stop work supported by three grants that helped fund the response to the widening measles outbreak there, according to Katherine Wells, the city's director of public health.
On Tuesday, some state health departments were preparing to lay off dozens of epidemiologists and data scientists. Others, including Texas, Maine, and Rhode Island, were still scrambling to understand the impact of the cuts before taking any action.
In interviews, state health officials predicted that thousands of health department employees and contract workers could lose their jobs nationwide. Some predicted the loss of as much as 90% of staff from some infectious disease teams.
"We learned yesterday that the federal government has unilaterally terminated approximately $226 million in grants to Minnesota Department of Health related to the Covid-19 pandemic," Minnesota Commissioner of Health Dr. Brooke Cunningham said in a statement. "This termination is effective immediately and impacts ongoing work and contracts. This action was sudden and unexpected."
Lori Freeman, CEO of the National Association of County and City Health Officials, toldCBS News that much of the funding would have expired soon anyway.
"It's ending in the next six months," she said. "There's no reason—why rescind it now? It's just cruel and unusual behavior."
Colorado Department of Public Health and Environment communications director Kristina Iodice toldNBC News, "We are concerned that this sudden loss of federal funding threatens Colorado's ability to track Covid-19 trends and other emerging diseases, modernize disease data systems, respond to outbreaks, and provide critical immunization access, outreach, and education—leaving communities more vulnerable to future public health crises."
The first Trump administration was widely criticized for shortcomings in these fields. A congressional panel issued a 2022 report accusing top administration officials of "failed stewardship" and a "persistent pattern of political interference" that undermined the nation's response to Covid-19, which to date has killed more than 1.2 million people in the United States and is still claiming hundreds of lives each week, according to CDC figures.
Wednesday's reportingd came as HHS, CDC, and other critical agencies braced for more cuts and layoffs ordered by Elon Musk's Department of Government Efficiency, or DOGE. HHS Secretary Robert F. Kennedy Jr. and his aides are also "nearing their final decisions on a sweeping restructuring of the department," CBS Newsreported last week.
Last month, Senate Democrats demanded answers from Kennedy regarding the purge of more than 5,000 HHS workers after the agency "blindly followed" a "baseless directive" by Trump and DOGE that the lawmakers said is "blatantly undermining Americans' health and safety."
As Common Dreamsreported Wednesday, public health experts have also condemned the administration's decision to terminate funding for Gavi, the global vaccine alliance—a move critics warned could result in the deaths of over 1 million children in the Global South.
"Investing in Gavi brings other benefits for our world and the American people," the alliance said. "Here's why: By maintaining global stockpiles of vaccines against deadly diseases like Ebola, mpox, and yellow fever, we help keep America safe. These diseases do not respect borders, they can cross continents in hours and cost billions of dollars."
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Banning NIH Grant Meetings, Trump Circumvents Courts That Blocked Funding Freeze
"The discoveries that aren't made—you can't point to them, because they will never be made."
Feb 22, 2025
The Trump administration's attempt to freeze all federal grants, including those at the National Institutes of Health, has been temporarily blocked since late last month, when two federal judges ruled that President Donald Trump did not have the authority to pull back the funding—but new reporting on Friday detailed how the administration has circumvented the rulings, threatening critical funding for biomedical research.
As The New York Timesreported, the Trump administration has issued an order "forbidding health officials from giving public notice of upcoming grant review meetings," blocking "an obscure but necessary cog in the grant-making machinery that delivers some $47 billion annually to research on Alzheimer's, heart disease, and other ailments."
Notices are required before any federal meetings can be held, and the order led to the cancellation of 42 out of 47 previously-scheduled NIH grant application meetings this week, impacting research that would have studied pancreatic cancer, addiction, brain injuries, and children's health, among other subjects.
Without public notices being posted in the Federal Register by the NIH, about 16,000 grant applications asking for $1.5 billion in research funding have already been stalled, reportedNPR.
"Applications will come in and basically they go into a black hole and nothing can be done with them," one person who remained anonymous told NPR. "That is where we are now."
The Times reported that an email from an NIH official on February 7 stated that the order blocking public notices "came from the HHS level," referring to the Department of Health and Human Services. The ban was in effect "indefinitely," said the official.
"Applications will come in and basically they go into a black hole and nothing can be done with them. That is where we are now."
"People in every community have to understand what gutting NIH funding means," said U.S. Rep. Jim McGovern (D-Mass.) on Saturday. "The cures unlocked by NIH-funded researchers might one day save your life—but because of Trump and [Department of Government Efficiency head Elon] Musk, now they might never be discovered at all."
Many health researchers and others who rely on federal grants breathed a sigh of relief when Trump's funding freeze was blocked by the judicial system late last month, and Judge Angel Kelley of the Federal District Court for the District of Massachusetts on Friday extended a separate order that aimed to cut about $4 billion in grants that it provides for "indirect costs" such as lab equipment and facilities maintenance.
Regarding Trump's broader federal funding freeze, U.S. District Judge John McConnell Jr. of the U.S. District Court for the District of Rhode Island heard arguments in the case on Friday, and said he hopes to issue a final ruling in about a week following his temporary restraining order last month.
But unless it is lifted, the HHS order blocking grant review meetings will likely lead to "missing" discoveries, researchers toldThe Washington Post on Saturday.
Without the ability to secure grant funding, research organizations are preparing to lay off researchers and accept fewer students to work in their laboratories, the Post reported.
"The discoveries that aren't made—you can't point to them, because they will never be made," Jeremy Berg, former director of the National Institute of General Medical Sciences, told the Post. "The hard part is you don't know what you missed until years later, when something doesn't happen."
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