Archives for category: Failure

Governor Ron DeSantis has done everything possible to destroy education in Florida. He apparently hates public schools. He pushed through an expansion of vouchers that provides a subsidy to every student in the state, no matter if the family is rich or poor. Of course, most of those using the voucher never attended public schools. Most vouchers go to students in religious schools. Florida currently spends $4 billion annually on vouchers, a sum sure to increase.

Bad as public K-12 education is, the state’s public higher education system is in worse shape. DeSantis has placed political cronies in charge of every state university. He took charge of tiny New College (700 students) because he was offended that Florida had one progressive institution of higher education where students were encouraged not to conform. DeSantis replaced the board with conservatives who put a political extremist in President. What was once a haven for free-thinking students was transformed into a school for jocks and business majors.

The editorial board of the Sun-Sentinel summarized DeSantis’s record of using higher education as patronage for political cronies:

When Gov. Ron DeSantis won his landslide re-election in 2022, a half-fawning and half-fearful Florida Legislature gave him whatever he wanted.

The Harvard graduate could have used that power to burnish Florida’s celebrated universities. He could have chosen the best and brightest to lead schools already among the nation’s best. He could have been the education governor.

That — not a bellyflopping bid for the White House — could have cemented his legacy.

Instead, DeSantis has earned a doctorate in cronyism. He’ll be remembered as the governor who did everything in his power to erode higher education and independent thought. He puts politics above merit and qualifications, with sham “searches” and secret deals.

College and university campuses are now soft-landing patronage pads for Republican allies, at sky-high salaries.

Former House Speaker Richard Corcoran was installed as president of New College in Sarasota. Another politician, former House Majority Leader Adam Hasner, was handed the FAU presidency. A run-of-the-mill former legislator, Fred Hawkins, won the presidency of a state college in Avon Park despite lacking academic qualifications.

Former Lt. Gov. Jeanette Nuñez is now president of Florida International University. Former U.S. Sen. Ben Sasse of Nebraska was given the prestigious UF presidency, then flamed out amid reports of over-the-top spending.

It’s no surprise, then, that Education Commissioner Manny Diaz, a former Republican legislator from Hialeah who oversees state colleges and K-12 education, will slide into the presidency of the University of West Florida in Pensacola.

For DeSantis and Diaz, no university is too big and no kindergarten picture book is too small to escape being recast in the governor’s philosophy.

Step 1: Stack the board

First, DeSantis stacked UWF’s board of trustees. Then, newly appointed trustee Zach Smith quickly made clear that UWF president Martha Saunders was unwelcome.

Smith, a Heritage Foundation fellow, had to reach back to six years ago to find even a speck of mud to throw: Two student-organized drag shows in 2019; social media messaging about a Black Lives Matter co-founder and a book, “How to be an Antiracist,” once recommended by university librarians.

It’s true that best-seller is full of provocative opinions. But so is Smith’s book, “Rogue Prosecutors,” which pushes dark conspiracies about prosecutors corrupted by a wealthy Jew.

That did not stop his nomination to the UWF board by DeSantis, who only last year declared war on campus antisemitism amid great fanfare.

The widely popular Saunders saw the writing on the wall, and she resigned.

A farcical scene

That board meeting was an ambush, said trustee Alonzie Scott. The next one was a farce.

Without a job posting or a search, Diaz’s name alone surfaced as a replacement. Just as quickly, a special meeting was called by UWF trustees. There would be no search for a temporary president and no effort to pick an interim leader from the university.

There was only a perfunctory vote to install Diaz. Then, farce upon farce, the board voted with a straight face to begin looking for a permanent replacement for Diaz.

Barring a political earthquake, that will be Diaz. As former Pensacola mayor and UWF alum Jerry Maygarden said at the meeting, what serious candidate would apply for a job that smacks of a done deal?

Even Diaz’s roots defy all logic.

UWF’s strength is its strong community support among residents and businesses, including Republican leaders. Diaz’s Miami-Dade home is a 10-hour drive, 700 miles and culturally worlds apart from Escambia County in “Lower Alabama.”

None of this is about rescuing students who feel intimidated and indoctrinated.

After all, a state-mandated 2022 Intellectual Freedom and Viewpoint Diversity report found that a majority of UWF students surveyed felt the school provided them the freedom to express their own opinions. Half said they had no idea if their professors were liberal or conservative.

New College 2.0

Never mind. In April, DeSantis told UWF to “buckle up,” announcing he would do for them what he did for New College.

It’s hard to see the success story in New College since the governor declared war on it. DeSantis’ hostile takeover of the tiny liberal arts college has devolved into a money pit: The state’s cost for each New College student shot to more than $90,000. Other state universities average roughly $8,000.

Last month, New College and the University of South Florida were found to be secretly working on a deal to “transfer” USF’s Sarasota-Manatee campus to New College. It’s dead for the moment. Community leaders, kept in the dark as usual, demand answers.

Meanwhile, USF has become the latest fertile field for DeSantis to reward his friends. USF’s president said she will resign, creating yet another job opportunity for a like-minded crony.

The Sun Sentinel Editorial Board consists of Opinion Editor Steve Bousquet, Deputy Opinion Editor Dan Sweeney, editorial writers Pat Beall and Martin Dyckman, and Executive Editor Gretchen Day-Bryant. To contact us, email at letters@sun-sentinel.com.

Once upon a time. Elon Musk was Trump’s best friend. No longer. Despite his best effort to slash the government, he failed. Originally, Musk offered to secure a cut of $2 trillion, but came nowhere near that figure, eventually he dropped his goal to only $175 billion. That number may actually be much lower because of errors in the count.

When Musk learned that Trump’s new budget was vastly increased, he went ballistic.

He said that the new budget was “disgusting.” He did not mention that his companies–especially Starlink and SpaceX–will be showered with federal funding in the “one big, beautiful bill.” Starlink will have a large role in Trump’s plan to build a “Golden Dome” to protect the U.S. and that his Space X will lead the effort to travel to Mars.

Patrick Svitek of The Washington Post reported:

Elon Musk on Tuesday called President Donald Trump’s sweeping legislation making its way through Congress “pork-filled” and “a disgusting abomination.” Musk, who recently left his cost-cutting role in Trump’s administration, issued his strongest condemnation to date of the massive tax and immigration bill that narrowly passed the House and is pending in the Senate. “Shame on those who voted for it: you know you did wrong,” Musk wrote on social media. “You know it.” On Monday night, Trump re-upped his call for Congress to send the bill to his desk by July 4.

Secretary of Education Linda McMahon announced an increase of $60 million to the Federal Charter Schools Program, bringing the annual total to $500 million to open new charter schools or expand existing ones.

This decision ignored research produced by the Network for Public Educatuon, showing that $1 billion had been wasted on grants to charter schools that never opened; that 26% of federally funded charter schools had closed within their first five years; and that 39% had closed by year 10.

The charter sector has been riddled with waste, fraud, and abuse.

See the following reports:

Charter failures

The Failure of the Federal Charter Schools Program:

CSP https://networkforpubliceducation.org/stillasleepatthewheel/

OIG report on CSP https://oig.ed.gov/reports/audit/effectiveness-charter-school-programs-increasing-number-charter-schools

Robert F. Kennedy Jr. was the nation’s most prominent critic of vaccines until Trump nominated him to be Secretary of Health and Human Services, the nation’s leading public health official. During his Senate confirmation hearings, he pretended that he was not anti-vaccine anymore and that he would not express anti-vaccine views anymore.

But old habits and antiquated views are hard to shake.

RFK Jr. has been consistently pro-vaccine and anti-vaccine since he took charge of HHS. The nation’s top vaccine expert resigned when he realized that his boss continues to be anti-vaccine. RFK, with no experience running any large organization, has fired thousands of scientists, driven away leading scientists, closed down important research, and inflicted massive demoralization on what was once the greatly respected HHS.

Lauren Weber wrote in the Washington Post about RFK Jr.’s hypocritical stance on vaccines. The Kennedy family must be deeply ashamed of him.

Weber wrote:

Early last month, after two Texas children had died of measles, Health and Human Services Secretary Robert F. Kennedy Jr. acknowledged that the MMR vaccine prevents the spread of that virus. But later that day, he posted photos of himself with anti-vaccine doctors, calling them “extraordinary healers” and promoting unproven treatments.

In a television interview three days later, Kennedy, the nation’s top health official, encouraged vaccination for measles. In the same conversation, he cast doubt on whether one of the children had actually died of measles-related complications.

And in an interview with Phil McGraw at the end of April, Kennedy said of the measles vaccine: “HHS continues to recommend that vaccine. But there are problems with the vaccine.”

With the nation in the grip of the deadliest measles outbreak in decades, Kennedy is equivocating with a worried U.S. public, health experts said. His mixed message appeals to vaccine believers and skeptics, muddying public health instructions at a time when clarity is essential.

Elevated from longtime anti-vaccine activist to guardian of the nation’s health, Kennedy is trying to appeal to both sides: the public, which largely supports vaccination, and the anti-vaccine hard-liners who helped propel his rise. His “doublespeak,” as public health experts and academics who follow the anti-vaccine movementcall it, gives him cover with both groups, allowing him to court public opinion while still assuaging his anti-vaccine base.

At least half of adults are uncertain whether to believe false claims about measles, its vaccine and its treatment, according to an April poll by the health-care think tank KFF.

“It’s confusing, and maybe that’s part of the strategy,” said Bruce Gellin, who oversaw HHS’s vaccine program in the Bush and Obama administrations. Gellin noted that confusion could lead parents to opt out of vaccination — exactly what health officials don’t want in an outbreak.

More On Vaccines

RFK Jr. says vaccines aren’t tested enough. Experts say that’s baseless.February 11, 2025

Vaccine skeptic hired to head federal study of immunizations and autismMarch 25, 2025

RFK Jr. forces out Peter Marks, FDA’s top vaccine scientistMarch 28, 2025

CDC plans study on vaccines and autism despite research showing no linkMarch 7, 2025

Trump has faced measles before. The difference this time is RFK Jr.April 8, 2025

In Idaho, a preview of RFK Jr.’s vaccine-skeptical AmericaFebruary 8, 2025

RFK Jr. will order placebo testing for new vaccines, alarming health expert…May 1, 2025

RFK Jr. disparaged vaccines dozens of times in recent years and made basele…January 28, 2025

In a statement about vaccination, HHS said: “Secretary Kennedy’s HHS has pledged radical transparency to the American public. This means being honest and straightforward about what we know — and what we don’t know — about medical products, including vaccines.”

Vaccines go through several stages of clinical trials, are tested on thousands of people, and are monitored after they are rolled out for any adverse events. Medical experts say they are safe, effective and considered one of the best tools for protecting public health.

When asked about the unproven treatments Kennedy had promoted, an HHS spokesperson said Kennedy will be enlisting the scientific community and the department to “activate a scientific process to treat a host of diseases, including measles, with single or multiple existing drugs in combination with vitamins and other modalities.” It is unclear what that will entail, but Kennedy has long advocated the use of vitamins and supplements.

Kennedy is scheduled to appear Wednesday before the Senate Committee on Health, Education, Labor and Pensions, where he is expected to face questions on his vaccine policies.

The outbreak in Texas has spread across the state and beyond, including a significant uptick of cases in El Paso. Experts worry the United States this year will record the largest number of cases since measles was declared eliminated a quarter-century ago. A recent study showed that if U.S. vaccination rates continue to decline, the nation could face millions of cases over the next 25 years.

Once an outbreak begins, health officials have only a short time to convince the U.S. public that vaccination is the proven way to save lives, said Chrissie Juliano, executive director of the Big Cities Health Coalition. The MMR vaccine — which protects against measles, mumps and rubella — is safe and effective, public health experts say.

In an investigative report, The New York Times demonstrated that Elon Musk failed to deliver on his claim that he could cut $2 trillion from the federal budget. Not only did he fall short, but his efforts were so reckless that they might cost money instead of saving it.

Having launched his so-called “Department of Government Efficiency” (which is not a department at all and was never authorized by Congress), Musk and his then-partner Vivek Ramaswamy promised to cut $2 trillion. Their goal dropped to $1 trillion, and Vivek left the team to run for Governor in Ohio.

Some of DOGE’s claims turned out be be inflated (one alleged saving of $8 billion turned out to be a saving of only $8 million.

Musk eventually reduced his saving claim to only $150 billion.

Since DOGE began, thousands of federal employees have been fired. Some have been rehired after courts decided their firing was illegal. Some have been fired, rehired, and fired again. Some career employees have taken buyout offers. Tens of thousands of federal employees have been laid off, without regard to their experience. There was no time for DOGE workers to evaluate each person they ousted, nor did DOGE have the competence to judge its victims.

The New York Times concluded that DOGE’s activities may actually save nothing at all. Firing workers is expensive when you do it the wrong way, the DOGE way.

Elizabeth Williamson of The New York Times wrote:

President Trump and Elon Musk promised taxpayers big savings, maybe even a “DOGE dividend” check in their mailboxes, when the Department of Government Efficiency was let loose on the federal government. Now, as he prepares to step back from his presidential assignment to cut bureaucratic fat, Mr. Musk has said without providing details that DOGE is likely to save taxpayers only $150 billion.

That is about 15 percent of the $1 trillion he pledged to save, less than 8 percent of the $2 trillion in savings he had originally promised and a fraction of the nearly $7 trillion the federal government spent in the 2024 fiscal year.

The Partnership for Public Service, a nonprofit organization that studies the federal work force, has used budget figures to produce a rough estimate that firings, re-hirings, lost productivity and paid leave of thousands of workers will cost upward of $135 billion this fiscal year. At the Internal Revenue Service, a DOGE-driven exodus of 22,000 employees would cost about $8.5 billion in revenue in 2026 alone, according to figures from the Budget Lab at Yale University. The total number of departures is expected to be as many as 32,000.

Neither of these estimates includes the cost to taxpayers of defending DOGE’s moves in court. Of about 200 lawsuits and appeals related to Mr. Trump’s agenda, at least 30 implicate the department.

The errors and obfuscations underlying DOGE’s claims of savings are well documented. Less known are the costs Mr. Musk incurred by taking what Mr. Trump called a “hatchet” to government and the resulting firings, agency lockouts and building seizures that mostly wound up in court.

“Not only is Musk vastly overinflating the money he has saved, he is not accounting for the exponentially larger waste that he is creating,” said Max Stier, the chief executive of the Partnership for Public Service. “He’s inflicted these costs on the American people, who will pay them for many years to come.”

Mr. Stier and other experts on the federal work force said it did not have to be this way. Federal law and previous government shutdowns offered Mr. Musk a legal playbook for reducing the federal work force, a goal that most Americans support. But Mr. Musk chose similar lightning-speed, blunt-force methods he used to drastically cut Twitter’s work force after he acquired the company in 2022.

“The law is clear,” said Jeri Buchholz, who over three decades in public service handled hiring and firing at seven federal agencies, including NASA and the Defense Intelligence Agency. “They can do all the things they are currently doing, but they can’t do them the way they’re doing them. They can either start over and do it right, or they can be in court for forever.”

Samuel Abrams has deep experience in the study of education privatization; for many years, he directed an institute on that subject at Teachers College, Columbia University. He is now working with the International Partnership for the Study of Educational Privatization.

He is also affiliated with the National Education Policy Center at the University of Colorado at Boulder, where he published a new report on the problems with education savings accounts (aka, vouchers).

Read the report.

Here is his executive summary:

Education Savings Accounts (ESAs) were first enacted in Arizona in 2011 as a particularly deregulated way to offer vouchers for specific students, particularly those with disabilities. As opposed to conventional private school tuition vouchers, ESAs could be used to cover tuition plus a range of other educational services. Soon thereafter, four additional states substantially replicated this new form of funding. But in 2022, Arizona and West Virginia took ESAs to another level, constructing them as universal vouchers, with all students eligible to participate, without regard to family income, prior public school attendance, or student disability. ESAs in these states could be used to cover either tuition at minimally regulated private schools or pods (mini schools with children of likeminded parents); or costs associated with homeschooling, from books and online curricula to field trips and ancillary goods and services deemed essential. Nine states have since followed suit and more appear poised to do the same. These ESAs constitute a dramatic elevation of educational outsourcing, at once fulfilling Milton Friedman’s long-argued libertarian vision for vouchers and comport-ing with the Trump administration’s commitment to downsize government and let the market fill the void.

Because of the unregulated nature of ESAs, accountability issues quickly emerged regarding both spending and pedagogy. Proper monitoring of spending by parents dispersed throughout a given state, for so many different types of goods and services, has swamped the capacity of state offices. The same holds regarding accountability for the quality of instruction in private schools, pods, and homeschools now supported with taxpayer money.

Meanwhile, because ESAs and other voucher programs tend to serve families who have already opted for private schools or homeschooling, two fiscal outcomes have become apparent. First, the programs create a new entitlement burden for taxpayers; rather than merely shifting an existing subsidy from public to private schools, the programs obligate taxpayers to support new groups of students. Second, the new subsidies have incentivized private schools to bump up tuition, on the grounds that families now have extra money to pay the higher tuition.

In addition, ESAs impact public schools. These schools suffer when substantial funding follows students who use ESAs for homeschooling or attendance at private schools or pods. The stubbornness of fixed costs for core operations for public schools often necessitates cuts to staff, from teachers to nurses, and resources, from microscopes to musical instruments. The impact on rural public schools and thus rural civic life may be greatest. Charter schools and conventional vouchers have played little role in rural America, as filling seats in charter or private schools in sparsely populated parts of the country represents a steep challenge. But with ESAs, students may leave public schools for pods or homeschooling. If enough students leave some small rural schools, those schools will have to consolidate with schools in neighboring towns, meaning significant travel for students and the forfeiture of much community life.

As with conventional vouchers, ESAs can lead to inequities and discrimination in student admissions and retention. Few protections exist in private schools, particularly religious schools, against discrimination based on disabilities, religion, or sexual orientation. Participating schools have also been documented to push out low-achieving students, thus adding to the problem of concentrating these students in default neighborhood public schools. For faculty and most staff, participating religious schools also generally afford no protection from dismissal on the grounds of religious affiliation or sexual orientation.

.***************

RECOMMENDATIONS:

Given the damage Education Savings Accounts can do, the following measures are recommended:

State Departments of Education

• Implement stricter oversight of what goods and services may be purchased with ESA funds.

• Strengthen state capacity to monitor ESA-related purchases.

• Require publication of all participating schools, their graduation rates, and their availability to students with disabilities.

State Lawmakers

• Most importantly, legislators should repeal existing programs.

• If ESAs cannot be repealed in states where they have already taken hold:

o Oppose any expansion of these programs to include new groups or cohorts.

o Pass legislation that imposes clear budget and spending limits on ESA programs to rein in cost overruns that have become common with these programs.o Require stricter oversight of what goods and services can be purchased with ESA funds and strengthen state capacity to monitor ESA-related purchases.

o Mandate periodic audits of curriculum and instructional practices in ESA-receiving schools.

o Require ESA-receiving schools to hire certified teachers.

o Require ESA-receiving schools to conduct the same annual academic assessments that public schools are required to administer.

o Require ESA-receiving schools to abide by existing federal and state civil rights and anti-discrimination laws, especially related to students with disabilities and LGBTQ+ students and faculty.

o Require that any effort to create a new ESA program be subject to open public hearings and, if feasible, public referenda.

Local Government Officials

• In states where ESAs exist, document the effects these programs have on students, families, and local public schools.

• In these same states, seek legislation to alleviate negative effects.

• Engage in awareness-raising efforts, such as informing local constituents of the po-

tential harms of ESAs, especially in rural communities, and adopting resolutions opposing ESAs.

If your memory is good, you may recall Arne Duncan’s Race to the Top, which had $5 billion of unrestricted funds with which to spur education reform. Duncan had a contest in which states competed for a piece of that big pie. To be eligible to compete, states had to pass a law authorizing charter schools, and almost every state did. They had to agree to adopt national standards, which meant the unfinished, untried Common Core State Standards, as well as the tests based on the standards. They had to agree to evaluate individual teachers based on the rise or fall of the test scores of their students.

Eighteen states “won.”

The biggest winner was Tennessee, which won $500 million. Tennessee’s biggest new program was the creation of its so-called Achievement School District. The ASD would gather the lowest performing schools in the state into a non-contiguous district and turn them into charter schoools.

The ASD hired Chris Barbic, leader of Houston’s YES Prep charter chain, to run the ASD. Barbic pledged that he would raise the state’s lowest-performing schools into top-performing schools in five years.

He failed. The state’s lowest performing schools continued to have low scores. In 2015, he resigned, saying he needed to focus on his health and family.

The ASD limped along for another decade, without success. Nonetheless, some other states–including Nevada and North Carolina–copied the model, creating their own all-charter districts. They also failed.

The Tennessee Legislature voted this week to shut down the ASD.

The ASD removed low-performing schools from local control and placed them under a state-run district, with the goal to push Tennessee’s bottom 5% of schools to the top 25%. Many of the schools were turned over to charter operators to run under 10-year contracts.

Research showed the ASD led to high teacher turnover, and did not generate long-term improvements for students. The district also faced community backlash for taking over schools in districts that served mostly low-income communities and predominantly Black student populations. The ASD cost taxpayers over $1 billion. Only three schools remain in the ASD.

Every other part of Race to the Top failed. Evaluating teachers by test scores was a disaster: it rewarded teachers in affluent districts and schools while penalizing those who taught the neediest students. Charter schools did not have higher scores than public schools unless they chose their students carefully, excluding the neediest. The Common Core standards, with which tests, textbooks and teacher education were aligned, had no impact on test scores. The U.S. Department of Education evaluated Race to the Top and declared it a failure., in a report quietly released on the last day of the Obama administration.

On to vouchers! Since voucher students don’t take state tests, no one will know that this is a boondoggle that benefits those already in private and religious schools.

The search for miracles and panaceas goes on.

Trump’s answer. Parents know best.

Next time you get surgery, make sure the surgeon is not licensed. Next time you take a flight, be sure to fly with an unlicensed pilot.

A Trump loyalist wrote an article in Politico blaming Defense Secretary Pete Hegseth for chaos and dysfunction at the Defense Department.

Before he was confirmed by the Senate, critics warned that the FOX News host had minimal administrative experience and was completely unqualified to lead one of the nation’s largest bureaucracies. He had run two small veterans’ groups into the ground and was fired from both.

In addition, the media reported that Hegseth conducted yet another Signal chat about bombing targets that included unauthorized people, including his wife, his brother, his personal lawyer, and a dozen other friends.

In the following article, John Pullyer predicts that Trump will replace Hegseth swiftly.

John Ullyot is former chief Pentagon spokesman and led communications at the National Security Council and the Department of Veterans Affairs in President Donald Trump’s first term. He resigned from the Pentagon last week. He was a senior communications adviser on Trump’s 2016 campaign.

It’s been a month of total chaos at the Pentagon. From leaks of sensitive operational plans to mass firings, the dysfunction is now a major distraction for the president — who deserves better from his senior leadership.President Donald Trump has a strong record of holding his top officials to account. Given that, it’s hard to see Defense Secretary Pete Hegseth remaining in his role for much longer.

The latest flashpoint is a near collapse inside the Pentagon’s top ranks. On Friday, Hegseth fired three of his most loyal senior staffers — senior adviser Dan Caldwell, deputy chief of staff Darin Selnick and Colin Carroll, chief of staff to the deputy secretary of Defense. In the aftermath, Defense Department officials working for Hegseth tried to smear the aides anonymously to reporters, claiming they were fired for leaking sensitive information as part of an investigation ordered earlier this month.

Yet none of this is true. While the department said that it would conduct polygraph tests as part of the probe, not one of the three has been given a lie detector test. In fact, at least one of them has told former colleagues that investigators advised him he was about to be cleared officially of any wrongdoing. Unfortunately, Hegseth’s team has developed a habit of spreading flat-out, easily debunked falsehoods anonymously about their colleagues on their way out the door.

On Friday, POLITICO reported that Hegseth’s chief of staff, Joe Kasper, was leaving his role. Kasper had requested the investigation into the Pentagon leaks, which reportedly included military operational plans for the Panama Canal and a pause in the collection of intelligence for Ukraine.

Hegseth is now presiding over a strange and baffling purge that will leave him without his two closest advisers of over a decade — Caldwell and Selnick — and without chiefs of staff for him and his deputy. More firings may be coming, according to rumors in the building.

In short, the building is in disarray under Hegseth’s leadership.

Today is a good day to reflect on hypocrisy. The Trump administration is deeply entwined with two groups: evangelical Christians and Elon Musk’s DOGE team. The White House has frequent prayer meetings, issues proclamations written by evangelical leaders, and even has offices in the Weat Wing for Trump’s spiritual advisors.

Meanwhile, Trump empowered DOGE to ransack every federal agency, fire staff by the tens of thousands, and shutter agencies that were established by Congress. Many fear that Medicaid, Medicare, and Social Security will suffer deep cuts.

The result will be not “efficiency,” but inefficiency. Worse, people will die if they cannot afford to pay for health care and do not get their Social Security because their local or regional office has been closed and they do not have a cell phone or computer.

The prime example of DOGE slaughter of an agency that has saved millions of lives is USAID. Foreign aid has had bipartisan support for decades. It brings food, medicine, and medical clinics to desperately poor people around the globe. American farmers supply the grains that are exported and lose billions of dollars.

But most important, millions of people will die because of the cutoff of drugs and food.

This is rank cruelty. This is obscene. This is a crime.

What do the evangelicals who surround Trump say about this? Clearly they influence his words but not his deeds. Jesus spoke about love, compassion, healing the sick, feeding the hungry, welcoming the stranger. What do they say about withdrawing drugs and food from millions of the needy and poor?

Today is a good day to ask, What would Jesus do?

David Remnick, editor of The New Yorker, interviewed Dr. Atul Gawande about his work at USAID. He was especially interested in learning Dr. Gawande’s views about the likely consequences of the evisceration of USAID.

Remnick writes:

It is hard to calculate all the good that Atul Gawande has done in the world. After training as a surgeon at Harvard, he taught medicine inside the hospital and in the classroom. A contributor to The New Yorker since 1998, he has published widely on issues of public health. His 2007 article in the magazine and the book that emerged from it, “The Checklist Manifesto: How to Get Things Right,” have been sources of clarity and truth in the debate over health-care costs. In 2014, he published “Being Mortal: Medicine and What Matters in the End,” a vivid, poetic, compassionate narrative that presents unforgettable descriptions of the ways the body ages and our end-of-life choices.

Gawande’s work on public health was influential in the Clinton and Obama Administrations, and, starting in November, 2020, he served on President Joe Biden’s covid-19 Advisory Board. In July, 2021, Biden nominated him as the assistant administrator for the Bureau of Global Health at the U.S. Agency for International Development, where he worked to limit disease outbreaks overseas. Gawande, who is fifty-nine, resigned the position on the day of Donald Trump’s return to the Presidency.

When we spoke recently for The New Yorker Radio Hour, Gawande, usually a wry, high-spirited presence, was in a grave mood. There were flashes of anger and despair in his voice. He was, after all, watching Trump and Elon Musk dismantle, gleefully, a global health agency that had only lately been for him a source of devotion and inspiration. As a surgeon, Gawande had long been in a position to save one life at a time. More recently, and all too briefly, he was part of a vast collective responsible for untold good around the world. And now, as he made plain, that collective has been deliberately cast into chaos, even ruins. The cost in human lives is sure to be immense. Our conversation has been edited for clarity and length.

President Biden appointed you as the assistant administrator for global health at U.S.A.I.D., a job that you’ve described as the greatest job in medicine. You stepped down on Trump’s Inauguration Day, and he immediately began targeting U.S.A.I.D. with an executive order that halted all foreign aid. Did you know, or did you intuit, that Trump would act the way he has?

I had no idea. In the previous Trump Administration, they had embraced what they themselves called the “normals.” They had a head of U.S.A.I.D. who was devoted to the idea of development and soft power in the world. They had their own wrinkle on it, which I didn’t disagree with. They called it “the journey to self-reliance,” and they wanted to invest in Africa, in Asia, in Latin America, to enable stronger economies, more capacity—and we weren’t doing enough of that. I actually continued much of the work that had occurred during that time.

Tell me a little bit about what you were in charge of and what good was being done in the world.

I had twenty-five thousand people, between D.C. and sixty-five countries around the world, working on advancing health and protecting Americans from diseases and outbreaks abroad. The aim was to work with countries to build their systems so that we protected global health security and improved global outcomes—from reducing H.I.V./aids and other infectious diseases like malaria and T.B., to strengthening primary health-care systems, so that those countries would move on from depending on aid from donors. In three years, we documented saving more than 1.2 million lives after covid alone.

Let’s pause on that. Your part of U.S.A.I.D. was responsible, demonstrably, for saving 1.2 million lives—from what?

So, covid was the first global reduction in life expectancy in seventy years, and it disrupted the ability across the world to deliver basic health services, which includes H.I.V./aids [medications], but also included childhood immunizations, and managing diarrhea and pneumonia. Part of my target was to reduce the percentage of deaths in any given country that occur before the age of fifty. The teams would focus on the top three to five killers. In some places, that would be H.I.V.; in some places that would be T.B. Safe childbirth was a huge part of the work. And immunizations: forty per cent of the gains in survival for children under five in the past fifty years in the world came from vaccines alone. So vaccines were a big part of the work as well.

What was the case against this kind of work? It just seems like an absolute good.

One case is that it could have been more efficient, right? Americans imagine that huge sums of money go to this work. Polls show that they think that a quarter of our spending goes to foreign aid. In fact, on a budget for our global health work that is less than half the budget of the hospital where I did surgery here in Boston, we reached hundreds of millions of people, with programs that saved lives by the millions. That’s why I describe it as the best job in medicine that people have never heard of. It is at a level of scale I could never imagine experiencing. So the case against it—I woke up one day to find Elon Musk tweeting that this was a criminal enterprise, that this was money laundering, that this was corruption.

Where would he get this idea? Where does this mythology come from?

Well, what’s hard to parse is: What is just willful ignorance? Not just ignorance—it’s lying, right? For example, there’s a statistic that they push that only ten per cent of U.S.A.I.D.’s dollars actually got to recipients in the world. Now, this is a willful distortion of a statistic that says that only ten per cent of U.S.A.I.D.’s funding went to local organizations as opposed to multinational organizations and others. There’s a legitimate criticism to be made that that percentage should be higher, that more local organizations should get the funds. I did a lot of work that raised those numbers considerably, got it to thirty per cent, but that was not the debate they were having. They’re claiming that the money’s not actually reaching people and that corruption is taking it away, when, in fact, the reach—the ability to get to enormous numbers of people—has been a best buy in health and in humanitarian assistance for a long time.

Now the over-all agency, as I understand it, had about ten thousand people working for it. How many are working at U.S.A.I.D. now?

Actually, the number was about thirteen thousand. And the over-all number now—it’s hard to estimate because people are being turned on and off like a light switch—

Turned on and off, meaning their computers are shut down?

Yeah, and they’re being terminated and then getting unterminated—like, “Oops, sorry, we let the Ebola team go.” You heard Elon Musk say something to that effect in the Oval Office. “But we’ve brought them back, don’t worry.” It’s a moving target, but this is what I’d say: more than eighty per cent of the contracts have been terminated, representing the work that is done by U.S.A.I.D. and the for-profit and not-for-profit organizations they work with, like Catholic Relief Services and the like. And more than eighty per cent of the staff has been put on administrative leave, terminated, or dismissed in one way or the other.

So it’s been obliterated.

It has been dismantled. It is dying. I mean, at this point, it’s six weeks in. Twenty million people with H.I.V., for example—including five hundred thousand children—who had received medicines that keep them alive have now been cut off for six weeks.

A lot of people are going to die as a result of this. Am I wrong?

The internal estimates are that more than a hundred and sixty thousand people will die from malaria per year, from the abandonment of these programs, if they’re not restored. We’re talking about twenty million people dependent on H.I.V. medicines—and you have to calculate how many you think will get back on, and how many will die in a year. But you’re talking hundreds of thousands in Year One at a minimum. But then on immunization side, you’re talking about more than a million estimated deaths.

I’m sorry, Atul. I have to stop my cool journalistic questioning and say: This is nothing short of outrageous. How is it possible that this is happening? Obviously, these facts are filtering up to Elon Musk, to Donald Trump, and to the Administration at large. And they don’t care?

The logic is to deny the reality, either because they simply don’t want to believe it—that they’re so steeped in the idea that government officials are corrupt and lazy and unable to deliver anything, and that a group of young twentysomething engineers will fix it all—or they are indifferent. And when Musk waves around the chainsaw—we are seeing what surgery on the U.S. government with a chainsaw looks like at U.S.A.I.D. And it’s just the beginning of the playbook. This was the soft target. This is affecting people abroad—it’s tens of thousands of jobs at home, so there’s harm here; there’s disease that will get here, etc. But this was the easy target. Now it’s being brought to the N.I.H., to the C.D.C., to critical parts of not only the health enterprise but other important functions of government.

So the National Institutes of Health, the Centers for Disease Control and Prevention, and other such bureaucracies that do equal medical good will also get slammed?

Are being slammed. So here’s the playbook: you take the Treasury’s payment system—doge and Musk took over the information system for the Treasury and the payments in the government; you take over the H.R. software, so you can turn people’s badges and computer access on and off at will; you take over the buildings—they cancelled the leases, so you don’t have buildings. U.S.A.I.D.—the headquarters was given to the Customs and Border Protection folks. And then you’ve got it all, right? And then he’s got X, which feeds right into Fox News, and you’ve got control of the media as well. It’s a brilliant playbook.

But from the outside, at least, Atul, and maybe from your vantage point as well: this looks like absolute chaos. I’ve been reading this week that staff posted overseas are stranded, fired without a plane ticket home. From the inside, what does it look like?

One example: U.S.A.I.D. staff in the Congo had to flee for their lives and watch on television as their own home was destroyed and their kids’ belongings attacked. And then when they called for help and backup, they could not get it. I spoke to staff involved in one woman’s case, a pregnant woman in her third trimester, in a conflict zone. They have maternity leave just like everybody else there. But because the contracts had been turned off, they couldn’t get a flight out, and were not guaranteed safe passage, and couldn’t get care for her complications, and ended up having to get cared for locally without the setup to address her needs. One person said to me, as she’s enduring these things, “My government is attacking me. We ought to be ashamed. Our entire system of checks and balances has failed us.”

What’s been the reaction in these countries, in the governments, and among the people? The sense of abandonment must be intense on all sides.

There are broadly three areas. The biggest part of U.S.A.I.D. is the fema for disasters abroad. It’s called the Bureau for Humanitarian Assistance, and they bring earthquake response; wildfire response; response in conflicts, in famines. These are the people who suit up, and get assistance, and stabilize places where things are going wrong.

The Global Health Bureau, which I led, is the second-largest part of the agency, and that does work around diseases and health threats, as well as advancing health systems in low- and middle-income countries around the world. There’s coöperation on solving global problems, like stopping pandemics, and addressing measles outbreaks, and so on.

The third is advancing countries’ economies, freedom, and democracy. John F. Kennedy, when he formed U.S.A.I.D. in 1961, said that it was to counter the adversaries of freedom and to provide compassionate support for the development of the world. U.S.A.I.D. has kept Ukraine’s health system going and gave vital support to keep their energy infrastructure going, as Russia attacked it. In Haiti, this is the response team that has sought to stabilize what’s become a gang-controlled part of the country. Our health teams kept almost half of the primary health-care system for the population going. So around the world: stopping fentanyl flow, bringing in independent media. All of that has been wiped out completely. And in many cases, the people behind that work—most of the people we’re working with, local partners to keep these things going—are now being attacked. Those partners are now being attacked, in country after country.

What you’re describing is both human compassion and, a phrase you used earlier in our conversation, “soft power.” Describe what that is. Why is it so important to the United States and to the world? What will squandering it—what will destroying it—mean?

The tools of foreign policy, as I’ve learned, are defense, diplomacy, and development. And the development part is the soft power. We’re not sending troops into Asia and Africa and Latin America. We’re sending hundreds of thousands of civilians without uniforms, who are there to represent the United States, and to pursue common goals together—whether it’s stemming the tide of fentanyl coming across the border, addressing climate disasters, protecting the world from disease. And that soft power is a reflection of our values, what we stand for—our strong belief in freedom, self-determination, and advancement of people’s economies; bringing more stability and peace to the world. That is the fundamental nature of soft power: that we are not—what Trump is currently trying to create—a world of simply “Might makes right, and you do what we tell you,” because that does not create stability. It creates chaos and destruction.

An immoral universe in which everybody’s on their own.

That’s right. An amoral universe.

Who is standing up, if anyone, in the Administration? What about Secretary of State Marco Rubio, whom you mentioned. What’s his role in all of this? Back in January, he issued a waiver to allow for lifesaving services to continue. That doesn’t seem to have been at all effective.

It hasn’t happened. He has issued a waiver that said that the subset of work that is directly lifesaving—through humanitarian assistance, disaster relief, and so on, and the health work that I used to lead—will continue; we don’t want these lives to be lost. And yet it hasn’t been implemented. It’s clear that he’s not in control of the mechanisms that make these things happen. doge does not approve the payments going out, and has not approved the payments going out, to sustain that work.

The federal courts have ruled that the freeze was likely illegal and unconstitutional, and imposed a temporary restraining order saying that it should not be implemented, that it had to be lifted—the payment freeze. Instead, they doubled down. And Marco Rubio signed on to this, tweeted about it earlier this week—that over eighty per cent of all contracts have now been terminated. And the remaining ones—they have not even made a significant dent in making back payments that are owed for work done even before Trump was inaugurated.

There’s always been skepticism, particularly on the right, about foreign aid. I remember Jesse Helms, of North Carolina, would always rail about the cost of foreign aid and how it was useless, in his view, in many senses. I am sure that in your time in office, you must have dealt with officials who were skeptical of the mission. What kind of complaints were you getting from senators and congressmen and the like, even before the Trump Administration took over in January?

It was a minority. I’ll just start by saying: the support for foreign-aid work has been recognized and supported by Republicans and Democrats for decades. But there’s been a consistent—it was a minority—that had felt that the U.S. shouldn’t be involved abroad. That’s part of an isolationist view, that extending this work is just charity; it’s not in U.S. interests and it’s not necessary for the protection of Americans. The argument is that we should be spending it at home.

They’re partly playing into the populist view that huge portions of the budget are going abroad, when that’s not been the case. But it’s also understandable that when people are suffering at home, when there are significant needs here, it can be hard to make connections to why we need to fight to stop problems abroad before they get here.

And yet we only recently endured the covid epidemic, which by all accounts did not begin at home, and spread all over the world. Why was covid not convincing as a manifestation of how a greater international role could help?

Certainly that didn’t convince anybody that that was able to be controlled abroad—

Because it wasn’t.

Because it wasn’t, right. And covid did drive a significant distrust in the public-health apparatus itself because of the suffering that people endured through that entire emergency. But I would say the larger picture is—every part of government spending has its critics. One of the fascinating things about the foreign-aid budget, which has been the least popular part of the budget, is that U.S.A.I.D. was mostly never heard of. Now it has high name recognition, and has majority support for continuing its programs, whether it’s keeping energy infrastructure alive in Ukraine, stabilizing conflicts—whether it’s Haiti or other parts of the world—to keep refugees from swarming more borders, or the work of purely compassionate humanitarian assistance and health aid that reduces the over-all death rates from diseases that may yet harm us. So it’s been a significant jump in support for this work, out of awareness now of what it is, and how much less it turns out to cost.

So it took this disaster to raise awareness.

That’s human nature, right? Loss aversion. When you lose it is when you realize its value.

Atul, there’s been a measles outbreak in West Texas and New Mexico, and R.F.K., Jr.—who’s now leading the Department of Health and Human Services—has advised some people, at least, to use cod-liver oil. We have this multilayered catastrophe that you’ve been describing. Where could the United States be, in a couple of years, from a health perspective? What worries you the most?

Measles is a good example. There’s actually now been a second death. We hadn’t had a child death from measles in the United States in years. We are now back up, globally, to more than a hundred thousand child deaths. I was on the phone with officials at the World Health Organization—the U.S. had chosen measles as a major area that it wanted to support. It provided eighty per cent of the support in that area, and let other countries take other components of W.H.O.’s work. So now, that money has been pulled from measles programs around the world. And having a Secretary of Health who has done more to undermine confidence in measles vaccines than anybody in the world means that that’s a singular disease that can be breaking out, and we’ll see many more child deaths that result from that.

The over-all picture, the deeper concern I have, is that as a country we’re abandoning the idea that we can come together collectively with other nations to do good in the world. People describe Trump as transactional, but this is a predatory view of the world. It is one in which you not only don’t want to participate in coöperation; you want to destroy the coöperation. There is a deep desire to make the W.H.O. ineffective in working with other nations; to make other U.N. organizations ineffective in doing their work. They already struggled with efficiency and being effective in certain domains, and yet they continue to have been very important in global health emergencies, responding and tracking outbreaks. . . .

We have a flu vaccine because there are parts of the world where flu breaks out, like China, that don’t share data with us. But they share it with the W.H.O., and the result is that we have a flu vaccine that’s tuned to the diseases coming our way by the fall. I don’t know how we’ll get a flu vaccine this fall. Either we’ll get it because people are, under the table, communicating with the W.H.O. to get the information, and the W.H.O is going to share it, even though the U.S. is no longer paying, or we’re going to work with other countries and be dependent on them for our flu vaccine. This is not a good answer.

I must ask you this, more generally: You’re watching a President of the United States begin to side with Russia over Ukraine. You’re watching the dismantlement of our foreign-aid budget, and both its compassion and its effectiveness. Just the other day, we saw a Columbia University graduate—you may agree with him, disagree with him on his politics, but who has a green card—and ice officers went to his apartment and arrested him, and presumably will deport him. It’s an assault on the First Amendment. You’re seeing universities being defunded—starting with Columbia, but it’ll hardly be the last, etc. What in your view motivates Donald Trump to behave in this way? What’s the vision that pulls this all together?

What I see happening on the health side is reflective of everything you just said. There is a fundamental desire to remove and destroy independent sources of knowledge, of power, of decision-making. So not only is U.S.A.I.D. dismantled but there’s thousands of people fired—from the National Institutes of Health, the C.D.C., the Food and Drug Administration—and a fundamental restructuring of decision-making so that political judgment drives decision-making over N.I.H. grants, which have been centralized and pulled away from the individual institutes. So the discoveries that lead to innovations in the world—that work has a political layer now. F.D.A. approvals—now wanting a political review. C.D.C. guidance—now wanting a political review. These organizations were all created by Congress to be shielded from that, so that we could have a professional, science-driven set of decisions, and not the political flavor of the moment.

Donald Trump’s preference, which he’s expressed in those actions and many others, is that his whims, just like King Henry VIII’s, should count. King Henry VIII remade an entire religion around who he wanted to marry. And this is the kind of world that Trump is wanting to create—one of loyalty trumping any other considerations. So the inspectors general who do audits over the corruption that they seem to be so upset about—they’ve been removed. Any independent judgment in society that would trump the political whims of the leader. . . . The challenge is—and I think is the source of hope for me—that a desire for chaos, for acceding to destruction, for accepting subjugation, is not a stable equilibrium. It’s not successful in delivering the goods for people, under any line of thinking.

In the end, professionally organized bureaucracies—that need to have political oversight, need to have some controls in place, but a balance that allows decision-making to happen—those have been a key engine of the prosperity of the country. Their destruction will have repercussions that I think will make the Administration very unpopular, and likely cause a backlash that balances things out. I hope we get beyond getting to the status quo ante of a stalemate between these two lines of thinking—one that advances the world through incremental collective action that’s driven around checks and balances as we advance the world ever forward, and one in which a strongman can have his way and simply look for who he can dominate.

Right now, Robert F. Kennedy, Jr., is the head of H.H.S. His targets include not only vaccine manufacturers but the pharma industry writ large. But he’s talked a lot, too, about unhealthy food in the American diet—to some extent, he’s not wrong. Do you see any upside in his role in pushing this so-called Make America Healthy Again idea?

Of course there is good. I mean, we as a country have chronic illness that is importantly tied to our nutritional habits, our exercise, and so on. But for all our unhealthiness, we’ve also had an engine of health that has enabled the top one per cent in America to have a ninety-year life expectancy today. Our job is to enable that capacity for public health and health-care delivery to get to everybody alive, I would argue, and certainly to get it to all Americans.

What’s ignored is that half the country can’t afford having a primary-care doctor and don’t have adequate public health in their communities. If R.F.K., Jr., were taking that on, more power to him. Every indication from his history is that this is an effort to highlight some important things. But how much of it’s going to actually be evidence-driven? He’s had some crazy theories about what’s going to advance chronic illness and address health.

I’d say the second thing is the utter incompetence in running things and making things work. They’ve utterly destabilized the National Institutes of Health, the Centers for Disease Control, the F.D.A.

Explain that destabilization—what it looks like from inside and what effects it’ll have.

One small example: doge has declared that all kinds of buildings are not necessary anymore. That includes the headquarters of the Department of Health and Human Services. They’re saying, “Oh, everybody has to show up for work now, but you won’t have a building to work in anymore.”

No. 2 on the list is F.D.A. specialized centers around the country. There’s a laboratory in St. Louis where they have specialized equipment for testing food and drugs for safety. And so that whole capability—to insure that your foods and your medications are able to be tested for whether they have contaminants, whether they are counterfeit—that’s a basic part of good nutrition, good medicine, that could be pulled away.

Whether it’s maintaining the building infrastructure, maintaining the staff who are being purged sort of randomly left and right, or treating them not like they’re slaves but actually bringing good work out of everybody, by good management—that is what’s not happening.

I have the feeling that you, even in a short time, loved being in the federal government. What I hear in our conversation is a sense of tragedy that is not only public but that is felt very intimately by you.

I did not expect that going into government would be as meaningful to me as it was. I went into government because it was the covid crisis and I was offered an opportunity to lead the international component of the response. We got seven hundred million vaccines out to the world. But what I found was a group of people who could achieve scale like I’d never seen. It is mission-driven. None of these people went into it for the money; it’s not like they’ve had any power—

I assume all of them could have made more money elsewhere.

Absolutely. And many of them spent their lives as Foreign Service officers living in difficult places in the world. I remember that Kyiv was under attack about eight weeks after I was sworn in. I thought I was going to be working on covid, but this thing was erupting. First of all, our health team, along with the rest of the mission and Embassy in Kyiv, had to flee for safety. But within a week they were already saying, “We have T.B. breaking out, we have potential polio cases. How are we going to respond?” And my critical role was to say, “What’s going to kill people the most? Right now, Russia has shut down the medical supply chain, and so nearly a hundred per cent of the pharmacies just closed. Two hundred and fifty thousand H.I.V. patients can’t get their meds. A million heart patients can’t get their meds. Let’s get the pharmacies open.” And, by the way, they’ve attacked the oxygen factories and put the hospitals under cyberattack and their electronic systems aren’t functioning.

And this team, in four weeks, moved the entire hospital record system to the cloud, allowing protection against cyberattacks; got oxygen systems back online; and was able to get fifty per cent of the pharmacies open in about a month, and ultimately got eighty per cent of the pharmacies open. That is just incredible.

Yes, are there some people that I had to deal with who were overly bureaucratic? Did I have to address some people who were not performing? Absolutely. Did I have to drive efficiency?

As in any work . . .

In every place you have to do that. But this was America at its best, and I was so proud to be part of that. And what frustrated me, in that job, was that I had to speak for the U.S. government. I couldn’t write for you during that time.

Believe me, I know!

I couldn’t tell the story. I’ve got a book I’m working on now in which I hope to be able to unpack all of this. It is, I think, a sad part of my leadership, that I didn’t also get to communicate what we do—partly because U.S.A.I.D. is restricted, in certain ways, from telling its story within the U.S. borders.

If you had the opportunity to tell Elon Musk and Donald Trump what you’ve been telling me for the past hour, or if they read a long report from you about lives saved, good works done, the benefits of soft power to the United States and to the world and so on—do you think it would have any effect at all?

Zero. There’s a different world view at play here. It is that power is what matters, not impact; not the over-all maximum good that you can do. And having power—wielding it in ways that can dominate the weak and partner with your friends—is the mode of existence. (When I say “partner with friends,” I mean partner with people like Putin who think the same way that you do.) It’s two entirely different world views.

But this is not just an event. This is not just something that happened. This is a process, and its absence will make things worse and worse and have repercussions, including the loss of many, many, maybe countless, lives. Is it irreparable? Is this damage done and done forever?

This damage has created effects that will be forever. Let’s say they turned everything back on again, and said, “Whoops, I’m sorry.” I had a discussion with a minister of health just today, and he said, “I’ve never been treated so much like a second-class human being.” He was so grateful for what America did. “And for decades, America was there. I never imagined America could be indifferent, could simply abandon people in the midst of treatments, in the midst of clinical trials, in the midst of partnership—and not even talk to me, not even have a discussion so that we could plan together: O.K., you are going to have big cuts to make. We will work together and figure out how to solve it.”

That’s not what happened. He will never trust the U.S. again. We are entering a different state of relations. We are seeing lots of other countries stand up around the world—our friends, Canada, Mexico. But African countries, too, Europe. Everybody’s taking on the lesson that America cannot be trusted. That has enormous costs.

It’s tragic and outrageous, no?

That is beautifully put. What I say is—I’m a little stronger. It’s shameful and evil. ♦︎

Trump is a performer who plays the part of a businessman. In New York City, he was known for his high-flying lifestyle, his frequent appearances at nightclubs, and his escapades with beautiful women. A businessman? He declared bankruptcy six times. His credit rating was so poor that no American bank would lend him money.

MAD magazine published this Trump cartoon in 1992: