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"What Donald Trump and Elon Musk aren't telling you is that under the banner of DOGE they are gutting Americans' jobs and eliminating their essential services all across the country," said one critic.
While mass layoffs of federal workers and draconian cost-cutting by Elon Musk's Department of Government Efficiency may seem like a distant issue to many Americans, a leading influence-monitoring watchdog warned Thursday that the Trump administration's sweeping cuts "are coming to your city services next."
"President Donald Trump and Elon Musk haven't just been taking a chainsaw through federal departments in Washington, D.C. Their crusade against regular Americans, and the services they depend on, has found its latest target: public servants directly serving in communities across the country," Accountable.US said in a statement.
The group noted that the Department of Government Efficiency (DOGE) "has taken aim at workers across the country who are providing critical services ranging from veterans' care, administration of Social Security benefits, public health, forest service management, and more."
"That's because at least 80% of all federal workers live outside of the Beltway, with federal field offices facing cuts which will lead to degraded services in communities in every state," Accountable.US added. "Already, Americans are feeling the impact of office closures and the elimination of jobs."
For example, in Pennsylvania, DOGE is closing Rural Housing Service, Internal Revenue Service, and Fish and Wildlife Service field offices that employ and serve local residents. In Michigan, hundreds of National Oceanic and Atmospheric Administration workers have been laid off. In Nevada, federal office building maintenance staffers in Las Vegas and Reno have been let go. The list goes on and on.
"What Donald Trump and Elon Musk aren't telling you is that under the banner of DOGE they are gutting Americans' jobs and eliminating their essential services all across the country," Accountable.US executive director Tony Carrk
said Thursday.
"From veterans' services to Social Security benefits, the administration is recklessly playing politics with benefits Americans depend on," Carrk continued. "It's all in service of paying for tax cuts which will benefit Trump, Musk, and their wealthy friends' pocketbooks, but push regular Americans further behind."
On Friday, Carrk further called the Trump-Musk cuts "a slap in the face to workers across the country, who get up everyday and serve others in their community."
"The fact these unnecessary job cuts are in service of paying for tax breaks for the wealthiest Americans, makes it all the more despicable," he added.
In many cases, people who enthusiastically voted for Trump have been fired, including disabled Air Force veteran Nathan Hooven, who was terminated last month from his job at a Virginia medical center for veterans. As Common Dreamsreported Wednesday, up to 83,000 Department of Veterans Affairs jobs are on the Trump-Musk chopping block.
"I think a lot of other veterans voted the same way, and we have been betrayed," Hooven toldThe Associated Press Wednesday. "I feel like my life and the lives of so many like me, so many that have sacrificed so much for this country, are being destroyed."
Despite efforts like the "New York Wants You" campaign to hire laid off federal workers, finding new employment can be a tremendous challenge, especially for older workers and people with disabilities. There are approximately 3 million federal employees, more than 50% of whom are age 45 or older.
"Federal workers all across the country are starting to look, and it's impacting people everywhere," Cory Stahle, an economist at the job search platform Indeed, toldThe New York Times Friday. "It's hard to think this isn't going to stress test the labor market in the coming months."
The Trump-Musk purge has many targeted workers shaking their heads in disbelief.
"Why are government employees suddenly the enemy?" Timothy Nicolazzi, a program analyst at the Department of Housing and Urban Development facing the loss of his job, told the Louisville Courier Journal Friday.
"A lot of us took these positions because we wanted to continue serving our country in a different capacity," the veteran added. "We just keep asking why, why is this happening to us? When did we become the enemy? When did serving our country become the wrong thing to do?"
Most media reports ignore that Hegseth was a leading advocate for turning veterans care over to private doctors and hospitals.
Much media coverage of Pete Hegseth’s nomination as Secretary of Defense has focused, understandably, on controversial things he has said or done, along with his complete lack of administrative experience relevant to running a federal government department with a $920 billion budget and a workforce of three million.
But anyone in charge of the Pentagon also gets to oversee the Military Health System (MHS), which provides either private health insurance coverage or direct care for over 9.5 million service members, military retirees, and their families. As Defense Secretary Lloyd Austin noted in a recent DOD National Defense Strategy report, the MHS mission is to ensure that active duty personnel and their dependents are well-served by a skilled cadre of “medical personnel in uniform,” who number nearly 170,000.
Hegseth served as an ROTC-trained Army officer deployed to Iraq, Afghanistan, and Guantanamo Bay and is a longtime critic of “government healthcare,” claiming that it “doesn’t work.” So if Hegseth succeeds Austin, Pentagon officials trying to end a failed experiment with MHA privatization may find themselves ordered to march backward.
Rather than being upgraded and improved, the DOD’s network of military hospitals and clinics would remain under-resourced. And more of the MHA’s $61 billion annual budget would be spent on private insurance coverage that has failed to meet the needs of many service members and their dependents, particularly in rural areas.
A White House Advisor
During the first Trump Administration, Hegseth was a White House advisor who pushed the Department of Veterans Affairs (VA) to expand care outsourcing for nine million former service members. Trump’s first VA Secretary, a hold-over from Barack Obama’s administration, dragged his feet on implementing this ill-advised policy.
As a result, Dr. David Shulkin, an experienced hospital system administrator in the private and public sectors, was fired by Trump in 2018 after keeping him around for over a year. In his memoir, It Shouldn’t Be This Hard to Serve Your Country, Shulkin blames his downfall on Hegseth, who “never worked at the VA, knew nothing about managing a healthcare system, and had little understanding of the clinical and financial impact of the policies he was advocating.”
Hegseth does have a background as “a capable midgrade officer” who earned two Ivy League degrees and Bronze Stars, plus media experience ranging from writing for the Princeton Tory, a conservative undergraduate publication, to opining about military and veterans’ affairs on Fox & Friends Weekend where he’s a host. In any other Republican administration, this resume would qualify him as a Pentagon press secretary.
That Hegseth has instead risen to a cabinet pick is a testament to the continuing impact of the Koch Brothers-backed Concerned Veterans for America (CVA). After a failed bid to become the GOP nominee in a 2002 Republican primary race for a U.S. Senate seat in his native Minnesota, Hegseth became CVA’s first CEO and a leading advocate for turning veterans care over to private doctors and hospitals.
CVA was an astroturf upstart in veterans’ affairs and an outlier in pushing VA privatization. Traditional Veterans Services Organizations (VSOs)—like Veterans of Foreign Wars, American Legion, Disabled American Veterans, or Vietnam Veterans of America—represent millions of veterans. Their members pay dues and elect their leaders. They have local chapters and national conventions. They have roots in the community and provide valuable services to individual veterans who need help filing disability claims for service-related conditions, which qualifies them for VA care.
VSO lobbying victories include the passage of the PACT Act of 2022. This legislation made VA benefits and related medical coverage easier to obtain for nearly a million veterans, including many whose health was damaged due to burn pit exposure during post-9/11 wars in the Middle East. (Hegseth initially applauded and then criticized the wars in Iraq and Afghanistan, a flip-flop characteristic of his career. As Iraq war veteran and VoteVets co-founder Jon Soltz says about him, “I have been debating Pete Hegseth for years, and I can’t tell you what he stands for other than himself and his own ambition.”
An Astro-Turf Group
With few actual dues-payers, no VSO-style membership service programs, and a political agenda bankrolled by libertarian billionaires, CVA helped pass few bills that benefited the nation’s 19 million veterans. Instead, during the Obama era, the media-savvy group became a battering ram against tax-payer-funded healthcare in any form, a longtime bête noir of the Kochs.
Hegseth became their most visible and effective mouthpiece in a wide-ranging campaign to discredit VA care and the Affordable Care Act (ACA). In 2013, CVA ran video ads warning, in Hegseth’s words, that all Americans would soon “face long wait times, endless bureaucracy, and poor service” if Congress expanded health care access by subsidizing private insurance coverage. The result, he claimed, would be billions of dollars wasted on “a nationalized health care plan that will bring the same bureaucratic dysfunction to the larger U.S. healthcare market”–as if the VA were a model for “Obamacare,” which it certainly wasn’t.
A year later, this propaganda offensive, closely coordinated with right-wing Republicans on Capitol Hill, claimed the scalp of retired four-star General Eric Shinseki, the Vietnam veteran who was Barack Obama’s first VA Secretary. Shinseki became the fall guy for a localized scandal involving misconduct by a few VA hospital managers in Phoenix. Their doctoring of data on medical appointment wait times—to earn bonus payments—led to CVA-amplified false claims that 40 Phoenix area vets had died due to delayed care. The result was that mainstream media packed journalism at its worst, and there was growing pressure for more out-sourcing of VA care despite its higher quality, lower cost, and greater accessibility than private alternatives.
On Capitol Hill, bi-partisan majorities passed the VA Choice Act of 2014 and, four years later, the VA MISSION Act. Both opened the floodgates for increasingly costly and disastrous privatization of the nation’s most extensive public healthcare system. CVA helped engineer the passage of each measure. After stepping down as CEO of Concerned Veterans of America ten years ago and becoming a Fox News commentator, Hegseth continued to advise President Trump on veterans’ affairs; other CVA alums served in official positions at the White House or VA headquarters in Washington.
Hegseth’s return to the conservative media eco-system of his college years has paid handsome rewards; he has become a multi-millionaire (despite two divorces) as a Fox & Friends talking head, paid speaker, and bestselling author of The War on Warriors, a critique of what he calls a "woke military." Like other high-paid former military officers, his benefit package in the private sector leaves Hegseth unlikely ever to need the VA, federally subsidized insurance coverage obtained through the ACA, or, when he retires, Medicare coverage. If confirmed, his pay as DOD Secretary will be a mere $246,000 per year, but with lucrative “revolving door” opportunities in the future, when and if he transitions back to the private sector from the Pentagon.
Pentagon Cost Savings?
Meanwhile, enlisted personnel and veterans from poor and working-class backgrounds bear the brunt of failed CVA-backed experiments with the privatization of the Military Health System and the VA. Under Trump and Biden, the DOD was flush with money for military aid, expensive new weapons systems, and base maintenance worldwide. Nevertheless, the Pentagon cut healthcare delivery costs for its workforce, retirees, and dependents.
Military hospitals were closed, staff positions cut, and several hundred thousand more patients were shifted to TRICARE, a federally funded form of private insurance. Newcomers to the private sector soon reported having greater difficulty getting timely medical appointments or accessing care in areas of the country with a shortage of primary care providers and specialists.
The Pentagon found that contracting out left its hospitals and clinics “chronically understaffed” and less able to “deliver timely care to beneficiaries or ensure sufficient workload to maintain and sustain critical skills. After reassessing the situation, the DOD launched an effort to “re-attract” patients back to the MHS. As studies have shown, in-house care produces better outcomes at lower cost, with fewer racial disparities—an essential advantage for a patient population of nearly 40 percent non-white.
If Hegseth becomes DOD Secretary by recess appointment or Senate confirmation, he will undoubtedly stop bringing TRICARE beneficiaries back into the MHS. He will also halt efforts to rebuild the DOD’s in-house healthcare delivery capacity.
And Hegseth will not be the only ideological foe of “government healthcare” in a high-level Trump Administration position. His fellow cabinet nominee, former Congressman Doug Collins, an Iraq War veteran from Georgia, will be eager to pick up where Robert Wilkie, Trump’s second VA secretary, left off with his privatization efforts in 2021. And, with the biggest impact, Dr. Mehmet Oz, the TV celebrity picked by Trump to run the Centers for Medicare and Medicaid, will further undermine traditional Medicare by replacing it with for-profit Medicare Advantage plans, on a more universal basis.
On all three fronts, these Trump appointees will weaken the public provision of healthcare that currently benefits more than 80 million people, making expanding such programs even more difficult.
Donald Trump and JD Vance want to privatize the system and make sure that future generations of veterans who have sacrificed so much for their country don’t get the kind of care that has literally saved my life.
In 1968, when I was twenty years old, I volunteered to serve with the Marines in Vietnam. I was trained to be a Navy Corpsman (medic) and attached to the Marines. I was only in Vietnam five weeks before being seriously wounded. I was with a company of 83 Marines when we were given orders to go to the top of a mountain, where we became completely surrounded by 1500 North Vietnamese Regulars. It is impossible for me to describe what it was like to be the target of 1500 machine guns firing all at once. Eighty percent of us were either killed or wounded in the first ten minutes of the battle. When the firing quieted down, I belly-crawled over to a Marine whose left arm was blown off and that’s when I was shot in the hip. My hip was blown off.
For most of the past fifty-plus years, I have been cared for by the VA Healthcare system. I’ve watched with admiration as the system has consistently improved - sometimes, remarkably - over those five decades. But now I watch with alarm as former President and current candidate for another term Donald Trump and his running mate J.D. Vance and their allies at the Heritage Foundation threaten the existence of the kind of care veterans like me depend on.
Trump and Vance and the Heritage Foundation’s Project 2025 accuse the VA of making veterans dependent on care they don’t really need. They attack the dedicated nurses, doctors and countless others who have cared for me as being bad apples and callous sadists, and they claim that our PTSD is nothing more than having a bad hair day. They want to privatize the system and make sure that future generations of veterans who have sacrificed so much for their country don’t get the kind of care that has literally saved my life.
Let me tell you more about my journey and about the care I have received. After being shot in the hip, I lay with an open wound in dense jungle for five days before help could reach me. After being rescued by helicopter, it took seven days at a field hospital for surgeons to stabilize me enough to be flown to a much larger and better equipped hospital in Japan. My whole right hip joint was destroyed, plus my hip was horribly infected with osteomyelitis, a recurrent life-threatening bacterial infection. The kind of care I received back in the early 70’s at the VA was too often hit and miss, so I stopped going. But I returned in the mid-1990’s to find that the quality of care had radically changed for the better.
The change was so obvious when I walked in the door. The attitude towards us by the staff was wonderful. The whole VA staff had learned a lot about how to manage the complex symptoms of PTSD. When I went back to the VA hospital for care I knew I needed help dealing with psychological and emotional issues, not just my physical illness and injury. I was angry at my country and thought I had every right to be angry, even the responsibility to be angry. VA healthcare has helped me find the options I needed to deal with my anger.
Pain management has been another major challenge for me and many other Vietnam veterans over the past five decades. If I hadn’t had constant care from the VA, I strongly believe I wouldn’t be here today.
Over the past five decades I have seen first-hand how VA doctors and nurses have evolved in their understanding of the complex issues that veterans are dealing with. I experienced horrible healthcare treatment back in the 1970s and 80s, but now I’m receiving what I consider the best care there is. I wouldn’t go anywhere else.
This is why I urge all veterans and non-veterans to pay close attention to the anti-VA messages that are being broadcast by folks whose main goal is to send veterans to private sector doctors and hospitals.