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DOGE Creates Chaos and Fear at HHS

By dianeravitch
April 1, 2025 //
3

Government Executive reports that the Secretary Of Health and Human Services Robert F. Kennedy Jr. plans to lay off 10,000 of the Department’s 80,000 employeees. Entire divisions will be eliminated or merged. But no one knows who will be laid off. Decisions about layoffs are being made by Elon Musk’s DOGE. Since no one knows who will be fired or why, everyone is fearful.

Government Executive writes:

The Health and Human Services Department has told its employees that 10,000 of them will soon receive layoff notices, though it has not offered any details on who will be impacted or when they will learn of their fates. 

The uncertainty has dangled over the more than 80,000 HHS employees since Thursday, when the department first announced it was planning to shed around 25% of its workforce and half of those eliminations would come through reductions in force. Leadership at individual components and offices are regularly seeking to update their employees on what is happening, according to seven individuals within HHS, though they have all said they have been fully kept out of the loop and only a small group of political leaders within HHS know the plans.

The Food and Drug Administration is expected to lay off 3,500 employees, the Centers for Disease Control and Prevention 2,400, the National Institutes of Health 1,200 and the Centers for Medicare and Medicaid Services 300, according to an HHS fact sheet. HHS did not respond to an inquiry into why the notices were delayed or when they would go out.

Several employees were told to expect RIF notices to hit inboxes on Friday. When that did not happen, they were told to expect them Friday evening or over the weekend. As of Monday afternoon, the notices have still not gone out. 

“FDA leadership doesn’t know who will be cut,” said an employee briefed on the matter. “They didn’t have any input into these cuts whatsoever.” 

Employees at CDC and NIH expressed similar messages were going out from leadership to the workforce. 

“It’s unnecessarily cruel,” said one CDC employee of the uncertainty and delays. 

A second CDC employee said they spent the entire weekend refreshing their email waiting to see if a RIF notice arrived. The employee was resigned to their fate, but wanted an answer: “Just put me out of my misery,” the staffer said. 

Prior to an “all hands” meeting at one NIH office, employees were encouraged to download their complete personnel files, current position description, pay stubs, tax documents, awards information and contact information for human resources and their supervisor in case they lost access upon being laid off. 

The department will not allow those who are subject to RIFs to be allowed back onto HHS campuses, according to two employees briefed on the matter. Some staff were told to bring their laptops homes each day in case they were laid off and not allowed back into their offices. Unlike other agencies that have gone through RIFs, which have immediately placed impacted staff on administrative leave, at least some HHS employees will be expected to work until their date of separation. 

At FDA, conversations with office directors were taking place to identify U.S. Public Health Service Commission Corps members who could escort laid off employees to their desks to collect their laptops and personal belongings. The uniformed personnel would be available for the RIF-affected staff who need to retrieve items on campus.

The RIFs are expected to take effect May 27, according to the National Treasury Employees Union, which represents much of the HHS workforce. That date could get pushed back given the delay in sending out official RIF letters, however, as agencies typically provide 60 days notice before separations take effect. 

Directors at the highest level of the component agencies have communicated “have no knowledge over what is happening,” one employee said in a sentiment echoed by those throughout the department. 

A senior HHS official said even HR at component agencies have received no information on who is being laid off or when the notices were going out, though the latest expectation was the letters would be delivered Monday. 

“Radio silence,” the official said. “It is madness!” 

Government Executive previously reported that top officials were being left out of the workforce reduction process. At NIH, for example, liaisons from the Department of Government Efficiency dictated staffing targets without input from the agency or anyone else at HHS. 

Some informal notices were beginning to trickle out Monday afternoon. CDC is planning to eliminate its entire Freedom of Information Act office, according to an impacted employee, which could create legal questions as agencies are required to maintain those functions. The official notices had not yet gone out as of Monday afternoon but all of the office’s 40 employees are expected to receive them. 

The reductions will be part of a comprehensive reorganization of HHS. The cuts will save $2 billion annually, department Secretary Robert Kennedy said last week, and HHS will go from 28 divisions throughout the department down to 15. Department-wide functions such as human resources, IT, procurement, external affairs and policy will be centralized into the Administration for Healthy America and regional offices will be slashed in half to just five.

The new AHA will fold into its structure the Substance Abuse and Mental Health Services Administration, Agency for Toxic Substances and Disease Registry and National Institute for Occupational Safety and Health. HHS will divide up the functions of the Administration for Community Living, which provides oversight of those serving older and disabled Americans, into CMS, the Administration for Children and Families and the Assistant Secretary for Planning and Evaluation. ASPE itself will be combined with the Agency for Health Research and Quality into the Office of Strategy.

This hurried reorganization is being imposed by the young engineers and computer geeks who work for Musk, apparently without consulting anyone who has done the work. The changes are rushed, haphazard, and carried out without the participation of those with knowledge and experience.

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Categories Accountability, Budget Cuts, Cruelty, Disruption, Evil, Extremism, Health, Musk, Elon, Science, Trump

How a Democrat Won as Governor in North Carolina

By dianeravitch
April 1, 2025 //
0

Thomas Mills writes a blog called PoliticsNC. In this post, he explains how a Democrat won the Governor’s race in North Carolina, which is now a red state. North Carolina used to be considered the most progressive state in the south, electing Democrats to state level offices and the General Assembly with regularity.

But in 2010, the Tea Party Republicans swept the state legislature. They gerrymandered the state so adeptly that Democrats had no chance to win control of the legislature again.

While the legislature has a Republican supermajority, the governorship has been captured by a Democrat in the last three elections: by Dr. Roy Cooper in 2016 and 2020, and by Josh Stein in 2024.

Governor Josh Stein

Political observers have long wondered about North Carolina’s split ticket voting. The state routinely elects Democrats to top statewide jobs like governor and attorney general while voting for Republicans for president and US Senate in the same election cycle. Josh Stein has won three elections, two for attorney general and one for governor, while Trump carried the state. His State of the State address offers insight into how Democrats win here. National Democrats should take notice. 

Stein delivered his address to the legislature on Wednesday night. At its core, the speech was people-oriented. He put the struggles of the state in human terms instead of political ones. He downplayed political divisions and his swipes at Republicans were muted. 

He led off with the recovery from Hurricane Helene, recognizing several families and business owners who are recovering from the disaster. He praised their resilience and the commitment of both individuals and community organizations like Baptists on Mission. He declared, “[T]he people who have been aiding folks out west don’t care a whit about the politics of the people they are helping.”

Stein never mentioned FEMA. His only reference to the federal response to the disaster was his declaration that he’s working with the Trump administration and Congress to get more money into the state. He kept the focus on the people who were most affected by the storm. His only political shot was urging the GOP led legislature to pass a bill giving $500 million more to disaster recovery. 

He moved from disaster recovery to job development. He leaned heavily into apprentice programs and community colleges. The focus was inherently working class. Stein said, “Folks should not have to get a bachelor’s degree to get a good-paying job and provide for their family.” He never mentioned the university system. 

Stein next shifted to child care and education. He highlighted the shortage and expense of child care in the state, calling for a task force to find “innovative solutions.” He called for family friendly tax cuts instead of reducing the corporate income tax. He called for raising teacher pay and pointed out that North Carolina is 48th in the nation in per pupil spending. He proposed a $4 billion bond to build more schools and fix existing ones.

He challenged the Republicans on their voucher program. While he didn’t focus on the vouchers themselves, he called out the tax breaks offered to wealthy families who receive voucher money and the unregulated schools that tax dollars support. He framed the debate in terms favorable to Democrats, looking for wins on accountability and shifting resources to working families instead of wealthy ones. 

Stein also built on one of his priorities as attorney general, combatting fentanyl. He highlighted the death of a young man and asked the legislature to fund a Fentanyl Control Unit. He’s getting on the right side of an issue that concerns much of rural North Carolina and setting up a challenge for Republicans if they rebuke his request. 

Stein stayed away from divisive cultural issues. He was inclusive in the broadest sense of the word. He focused on shared priorities that cross ethnic, racial, and gender lines. 

Stein’s overall tone was bipartisan or nonpartisan. He laid out priorities that are widely shared—Helene recovery efforts, creating jobs and developing our workforce, increasing access to child care, improving public education, combatting fentanyl deaths—while acknowledging we might differ in how to achieve these goals. He offered hope instead of pointing fingers. 

When Stein did pick fights, they were subtle and put Democrats on the side of working people —child care tax breaks for working families instead of the corporate tax cuts, raising teacher pay instead of subsidizing tuition of wealthy families. He brought a populist tone to his education and tax arguments. He made direct appeals to the working class voters that Democrats need to attract. 

Democrats across the country should take notice. Stein turned down the heat instead of inviting divisions. He gave very little red meat to the base, but stayed true to core Democratic values, like supporting public education and helping working families. While he set up subtle contrasts with Republicans in the legislature, he also celebrated bipartisan victories like Medicaid expansion. 

Stein gave a unifying speech, one that was hard for Republicans to attack. He laid down the foundation for working across party lines. He focused on solutions instead of problems. He set priorities that were largely noncontroversial. He made clear that he would be governor of the whole state, not just the leader of a party. He offered a sharp contrast to the divisive politics of Washington. That’s how Democrats win in a state like North Carolina.

Categories Education Reform, Health, North Carolina, Supporting public schools

CDC Downplays Importance of Vaccines, Reflecting Malign Influence of RFK Jr.

By dianeravitch
March 30, 2025 //
10

ProPublica reported that the Centers for Disease Control (CDC) recently watered down its advice about how to respond to the danger of measles. Pre-Trump and RFK Jr., the CDC was quick to warn the public about the importance of getting vaccinated, especially when there was an uptick in contagious diseases. Now, with vaccine critic RFK Jr. in charge of the Department of Health and Human Services of which the CDC is a part, the message has been muted. Now, getting vaccinated is a matter of personal choice, not a matter of public health.

Leaders at the Centers for Disease Control and Prevention ordered staff this week not to release their experts’ assessment that found the risk of catching measles is high in areas near outbreaks where vaccination rates are lagging, according to internal records reviewed by ProPublica.

In an aborted plan to roll out the news, the agency would have emphasized the importance of vaccinating people against the highly contagious and potentially deadly disease that has spread to 19 states, the records show.

A CDC spokesperson told ProPublica in a written statement that the agency decided against releasing the assessment “because it does not say anything that the public doesn’t already know.” She added that the CDC continues to recommend vaccines as “the best way to protect against measles.”

But what the nation’s top public health agency said next shows a shift in its long-standing messaging about vaccines, a sign that it may be falling in line under Health and Human Services Secretary Robert F. Kennedy Jr., a longtime critic of vaccines:

“The decision to vaccinate is a personal one,” the statement said, echoing a line from a column Kennedy wrote for the Fox News website. “People should consult with their healthcare provider to understand their options to get a vaccine and should be informed about the potential risks and benefits associated with vaccines.”

ProPublica shared the new CDC statement about personal choice and risk with Jennifer Nuzzo, director of the Pandemic Center at Brown University School of Public Health. To her, the shift in messaging, and the squelching of this routine announcement, is alarming.

“I’m a bit stunned by that language,” Nuzzo said. “No vaccine is without risk, but that makes it sound like it’s a very active coin toss of a decision. We’ve already had more cases of measles in 2025 than we had in 2024, and it’s spread to multiple states. It is not a coin toss at this point.”

For many years, the CDC hasn’t minced words on vaccines. It promoted them with confidence. One campaign was called “Get My Flu Shot.” The agency’s website told medical providers they play a critical role in helping parents choose vaccines for their children: “Instead of saying ‘What do you want to do about shots?,’ say ‘Your child needs three shots today.’”

Nuzzo wishes the CDC’s forecasters would put out more details of their data and evidence on the spread of measles, not less. “The growing scale and severity of this measles outbreak and the urgent need for more data to guide the response underscores why we need a fully staffed and functional CDC and more resources for state and local health departments,” she said.

Kennedy’s agency oversees the CDC and on Thursday announced it was poised to eliminate 2,400 jobs there.

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Measles is very serious. The World Health Organization estimated that 107,500 people--mostly unvaccinated children under the age of 5–died in 2023 from measles.

Categories Health, Science

Top Vaccine Official Resigns to Protest RFK Jr.’s “Lies and Misinformation”

By dianeravitch
March 29, 2025 //
8

Dr. Peter Marks, the leading vaccine expert at the Department of Health and Human Services resigned to protest Secretary Robert F. Kennedy Jr.’s persistent lies about the efficacy of vaccines. At his Senate hearings, Kennedy assured the committee that his days as a vaccine opponent were over. He lied.

The New York Times reported:

The Food and Drug Administration’s top vaccine official, Dr. Peter Marks, resigned under pressure Friday and said that Health Secretary Robert F. Kennedy Jr.’s aggressive stance on vaccines was irresponsible and posed a danger to the public.

“It has become clear that truth and transparency are not desired by the secretary, but rather he wishes subservient confirmation of his misinformation and lies,” Dr. Marks wrote to Sara Brenner, the agency’s acting commissioner. He reiterated the sentiments in an interview, saying: “This man doesn’t care about the truth. He cares about what is making him followers.”

Dr. Marks resigned after he was summoned to the Department of Health and Human Services Friday afternoon and told that he could either quit or be fired, according to a person familiar with the matter.

Dr. Marks led the agency’s Center for Biologics Evaluation and Research, which authorized and monitored the safety of vaccines and a wide array of other treatments, including cell and gene therapies. He was viewed as a steady hand by many during the Covid pandemic but had come under criticism for being overly generous to companies that sought approvals for therapies with mixed evidence of a benefit.

His continued oversight of the F.D.A.’s vaccine program clearly put him at odds with the new health secretary. Since Mr. Kennedy was sworn in on Feb. 13, he has issued a series of directives on vaccine policy that have signaled his willingness to unravel decades of vaccine safety policies. He has rattled people who fear he will use his powerful government authority to further his decades-long campaign of claiming that vaccines are singularly harmful, despite vast evidence of their role in saving millions of lives worldwide.

“Undermining confidence in well-established vaccines that have met the high standards for quality, safety and effectiveness that have been in place for decades at F.D.A. is irresponsible, detrimental to public health, and a clear danger to our nation’s health, safety and security,” Dr. Marks wrote.

Mr. Kennedy has, for example, promoted the value of vitamin A as a treatment during the major measles outbreak in Texas while downplaying the value of vaccines. He has installed an analyst with deep ties to the anti-vaccine movement to work on a study examining the long-debunked theory that vaccines are linked to autism.

And on Thursday, Mr. Kennedy said on NewsNation that he planned to create a vaccine injury agency within the Centers for Disease Control and Prevention. He said the effort was a priority for him and would help bring “gold-standard science” to the federal government.

An H.H.S. spokesman said in a statement Friday night that Dr. Marks had no place at the F.D.A. if he was not committed to transparency.

In his letter, Dr. Marks mentioned the deadly toll of measles in light of Mr. Kennedy’s tepid advice on the need for immunization during the outbreak among many unvaccinated people in Texas and other states.

Dr. Marks wrote that measles, “which killed more than 100,000 unvaccinated children last year in Africa and Asia,” because of complications, “had been eliminated from our shores” through the widespread availability of vaccines.

Dr. Marks added that he had been willing to address Mr. Kennedy’s concerns about vaccine safety and transparency with public meetings and by working with the National Academies of Sciences, Engineering and Medicine, but was rebuffed.

With the outbreak of measles in several states, Kennedy’s refusal to advocate immunization is a danger to public health. Only someone as dumb or malevolent as Trump could put a conspiracy theorist and vaccine opponent in charge of public health.

Categories Accountability, Ethics, Extremism, Health, Science

Trump Administration Cuts Funding for Vaccines for World’s Poorest Nations

By dianeravitch
March 27, 2025 //
3

The cruelty and sheer meanness of the Trump administration can never be overestimated. As the administration closes down USAID, without Congressional authorization, it announced a series of cuts that will kill millions of people. Having an ardent opponent of vaccines in charge of Heakth and Human Services removes any advocacy to distribute proven methods to save lives and prevent epidemics.

Stephanie Nolen of The New York Times reported:

The Trump administration intends to terminate the United States’ financial support for Gavi, the organization that has helped purchase critical vaccines for children in developing countries, saving millions of lives over the past quarter century, and to significantly scale back support for efforts to combat malaria, one of the biggest killers globally.

The administration has decided to continue some key grants for medications to treat H.I.V. and tuberculosis, and food aid to countries facing civil wars and natural disasters.

Those decisions are included in a 281-page spreadsheet that the United States Agency for International Development sent to Congress Monday night, listing the foreign aid projects it plans to continue and to terminate. The New York Times obtained a copy of the spreadsheet and other documents describing the plans.

The documents provide a sweeping overview of the extraordinary scale of the administration’s retreat from a half-century-long effort to present the United States to the developing world as a compassionate ally and to lead the fight against infectious diseases that kill millions of people annually.

The cover letter details the skeletal remains of U.S.A.I.D. after the cuts, with most of its funding eliminated, and only 869 of more than 6,000 employees still on active duty.

In all, the administration has decided to continue 898 U.S.A.I.D. awards and to end 5,341, the letter says. It says the remaining programs are worth up to $78 billion. But only $8.3 billion of that is unobligated funds — money still available to disburse. Because that amount covers awards that run several years into the future, the figure suggests a massive reduction in the $40 billion that U.S.A.I.D. used to spend annually.

A spokesperson for the State Department, which now runs what is left of U.S.A.I.D., confirmed the terminations on the list were accurate and said that “each award terminated was reviewed individually for alignment with agency and administration priorities, and terminations were executed where Secretary Rubio determined the award was inconsistent with the national interest or agency policy priorities.”

The memo to Congress presents the plan for foreign assistance as a unilateral decision. However because spending on individual health programs such as H.I.V. or vaccination is congressionally allocated, it is not clear that the administration has legal power to end those programs. This issue is currently being litigated in multiple court challenges.

Among the programs terminated is funding for the United Nations Food and Agriculture Organization, which conducts surveillance for diseases that can be transmitted from animals to humans, including bird flu, in 49 countries. Some major programs to track and fight malaria, one of the world’s top killers of children, have also been ended.

Dr. Austin Demby, the health minister of Sierra Leone, which relies on Gavi’s support to help purchase vaccines, said he was “shocked and perturbed” by the decision to terminate U.S. funding and warned that the ramifications would be felt worldwide.

“This is not just a bureaucratic decision, there are children’s lives at stake, global health security will be at stake,” he said. “Supporting Gavi in Sierra Leone is not just a Sierra Leone issue, it’s something the region, the world, benefits from.”

“The guiding principle of my work is ‘go there.’ I want to hear directly from the people who are affected by disease, or lack of access to a new drug. I’ve been writing about global health for 30 years and have reported from more than 80 countries.”

In addition to trying to reach all children with routine immunizations, Sierra Leone is currently battling an mpox outbreak, for which Gavi has provided both vaccines and critical support to deliver them, he said.

“We hope the U.S. government will continue to be the global leader it always been — putting money in Gavi is not an expenditure, it’s an investment,” Dr. Demby said

Gavi is estimated to have saved the lives of 19 million children since it was set up 25 years ago. The United States contributes 13 percent of its budget.

The terminated grant to Gavi was worth $2.6 billion through 2030. Gavi was counting on a pledge made last year by President Joseph R. Biden Jr. for its next funding cycle.

New vaccines with the promise to save millions of lives in low-income countries, such as one to protect children from severe malaria and another to protect teenage girls against the virus that causes cervical cancer, have recently become available, and Gavi was expanding the portfolio of support it could give those countries.

The loss of U.S. funds will set back the organization’s ability to continue to provide its basic range of services — such as immunization for measles and polio — to a growing population of children in the poorest countries, let alone expand to include new vaccines.

By Gavi’s own estimate, the loss of U.S. support may mean 75 million children do not receive routine vaccinations in the next five years, with more than 1.2 million children dying as a result.

Categories Cruelty, Ethics, Evil, Extremism, Funding, Health, International, Science, Trump

Refugees in Bangladesh Will Die of Starvation Due to U.S. Budget Cuts in Foreign Aid

By dianeravitch
March 25, 2025 //
7

Mujib Mashal wrote in The New York Times about the desperate starvation facing the Rohingya refugees as a result of the shutdown of U.S. foreign aid. They escaped Myanmar’s “ethnic cleansing” and now live in a United Nations camp, where their survival depends on donations of food from benevolent nations. The U.S., thanks to billionaires Trump and Musk. They should take a tour of the camps and see for themselves why foreign aid is impirtant.

Mashal writes:

More than a million people in the world’s largest refugee camp could soon be left with too little food for survival. 

In the camp in Bangladesh, United Nations officials said, food rations are set to fall in April to about 18 pounds of rice, two pounds of lentils, a liter of cooking oil and a fistful of salt, per person — for the entire month.

The Trump administration’s freeze on aid has overwhelmed humanitarian response at a time when multiple conflicts rage, with aid agencies working feverishly to fill the void left by the U.S. government, their most generous and reliable donor. Many European nations are also cutting humanitarian aid, as they focus on increasing military spending in the face of an emboldened Russia.

The world is left teetering on “the verge of a deep humanitarian crisis,” U.N. Secretary General António Guterres warned on a visit to the Rohingya refugee camp in southeastern Bangladesh on Friday.

“With the announced cuts in financial assistance, we are facing the dramatic risk of having only 40 percent in 2025 of the resources available for humanitarian aid in 2024,” he said, addressing a crowd of tens of thousands of Rohingya refugees. “That would be an unmitigated disaster. People will suffer, and people will die.”

At the refugee camp at Cox’s Bazar, overcrowded warrens of bamboo and tarp huts on mounds of dirt house more than a million Rohingya people driven from their homeland, Myanmar, by a campaign of ethnic cleansing that intensified in 2017.

Fenced off from the rest of Bangladesh, and almost entirely cut off from opportunities to find work or integrate into the country, the Rohingya refugees remain entirely at the mercy of humanitarian aid. The United Nations, with the help of the Bangladeshi government and dozens of aid organizations, looks after the needs of the traumatized people — education, water, sanitation, nutrition, medical care and much more.

The sudden drop in humanitarian aid threatens a wide range of programs and communities around the world, but the plight of the Rohingya is unusual in its scale and severity.

“Cox’s Bazar is ground zero for the impact of budget cuts on people in desperate need,” Mr. Guterres said. “Here it is clear budget reductions are not about numbers on a balance sheet. Funding cuts have dramatic human costs.”

Even at the current food allowance of $12.50 per person, per month, more than 15 percent of the children at the camp are acutely malnourished, according to the United Nations — the highest level recorded since 2017, when hundreds of thousands of refugees arrived after a sharp escalation of violence in Myanmar.

When a funding shortfall slashed the monthly food allowance to $8 in 2023, malnutrition and crime soared. People tried to flee the camp by embarking on dangerous and often fatal boat journeys.

During Mr. Guterres’s visit to the camp, U.N. officials had set up on a table sample food baskets showing what refugees currently get at $12.50 per person, and what that will be slashed to next month if, as they now project, the allotment falls to $6, barring a last-minute rescue.

Pointing to the sparse basket marked “$6,” Dom Scallpelli, the Bangladesh country director for the World Food Program, said, “If you give only this, that is not a survival ration.”

Even the $6 diet expected for the month of April would be made possible only because the United States unfroze its in-kind contribution, agreeing to send shipments of rice, beans, and oil, Mr. Scallpelli said. The cash contributions — the United States provided about $300 million to the Rohingya response last year, a little over half the entire response fund — remain halted.

“If we didn’t even have that, it would have been a total nightmare situation,” Mr. Scallpelli said about the in-kind donations. “At least we are thankful to the U.S. for this.”

Abul Osman, a 23-year-old refugee who arrived at Cox’s Bazar in 2017, said the refugees were already struggling with the bare minimum and the slashing of rations would be devastating for a population with no livelihood options. The Rohingya in Bangladesh are only allowed schooling inside the camp, and are not allowed access to higher education or jobs outside.

Pregnant women and children will suffer the most from dire food shortages, but the resulting mental health crisis will affect everyone, he said.

“It’s a threat to our survival,” he said.

People will die. Many thousands will die. Should we care? Our government claims to be Christian. What is the Christian response to a humanitarian catastrophe?

Categories Accountability, Billionaires, Corruption, Cruelty, Disruption, Ethics, Evil, Extremism, Failure, Funding, Health, International, Musk, Elon, Trump

How Many Will Die Because Trump and Musk Ended Foreign Aid?

By dianeravitch
March 25, 2025 //
3

Nicholas Kristoff tried to estimate how many people will die because of Elon Musk’s frivolous cutting of foreign aid to desperate people? Of course, Musk relied on the authority given to his phony DOGE by Trump. So together, they bear responsibility for the deadly consequences. If either has a conscience, which is questionable, they will go to their graves someday knowing that they caused mass murders.

Kristof wrote in The New York Times:

As the world’s richest men slash American aid for the world’s poorest children, they insist that all is well. “No one has died as a result of a brief pause to do a sanity check on foreign aid funding,” Elon Musk said. “No one.”

That is not true. In South Sudan, one of the world’s poorest countries, the efforts by Musk and President Trump are already leading children to die.

Peter Donde was a 10-year-old infected with H.I.V. from his mother during childbirth. But American aid kept Peter strong even as his parents died from AIDS. A program started by President George W. Bush called PEPFAR saved 26 million lives from AIDS, and one was Peter’s.

Under PEPFAR, an outreach health worker ensured that Peter and other AIDS orphans got their medicines. Then in January, Trump and Musk effectively shuttered the U.S. Agency for International Development, perhaps illegally, and that PEPFAR outreach program ended. Orphans were on their own.

Without the help of the community health worker, Peter was unable to get his medicines, so he became sick and died in late February, according to Moses Okeny Labani, a health outreach worker who helped manage care for Peter and 144 other vulnerable children.

The immediate cause of death was an opportunistic pneumonia infection as Peter’s viral load increased and his immunity diminished, said Labani.

“If U.S.A.I.D. would be here, Peter Donde would not have died,” Labani said.

We worked with experts at the Center for Global Development who tried to calculate how many lives are at risk if American humanitarian assistance is frozen or slashed. While these estimates are inexact and depend on how much aid continues, they suggest that a cataclysm may be beginning around the developing world…

An estimated 1,650,000 people could die within a year without American foreign aid for H.I.V. prevention and treatment.

Achol Deng, an 8-year-old girl, was also infected with H.I.V. at birth and likewise remained alive because of American assistance. Then in January, Achol lost her ID card, and there was no longer a case worker to help get her a new card and medicines; she too became sick and died, said Labani.

Yes, this may eventually save money for United States taxpayers. How much? The cost of first-line H.I.V. medications to keep a person alive is less than 12 cents a day.

I asked Labani if he had ever heard of Musk. He had not, so I explained that Musk is the world’s wealthiest man and has said that no one is dying because of U.S.A.I.D. cuts.

“That is wrong,” Labani said, sounding surprised that anyone could be so oblivious. “He should come to grass roots.”

Another household kept alive by American aid was that of Jennifer Inyaa, a 35-year-old single mom, and her 5-year-old son, Evan Anzoo, both of them H.I.V.-positive. Last month, after the aid shutdown, Inyaa became sick and died, and a week later Evan died as well, according to David Iraa Simon, a community health worker who assisted them. Decisions by billionaires in Washington quickly cost the lives of a mother and her son.

“Many more children will die in the coming weeks,” said Margret Amjuma, a health worker who confirmed the deaths of Peter and Achol.

On a nine-day trip through East African villages and slums I heard that refrain repeatedly: While some are already dying because of the decisions in Washington, the toll is likely to soar in the coming months as stockpiles of medicines and food are drawn down and as people become weaker and sicker.

Two women, Martha Juan, 25, and Viola Kiden, 28, a mother of three, have already died because they lived in a remote area of South Sudan and could not get antiretroviral drugs when U.S.A.I.D. shut down supply lines, according to Angelina Doki, a health volunteer who supported them.

Doki told me that her own supply of antiretrovirals is about to run out as well.

“I am going to develop the virus,” Doki said. “My viral load will go high. I will develop TB. I will have pneumonia.” She sighed deeply and added, “We are going to die.”

In South Africa, where more than seven million people are H.I.V.-positive, the Desmond Tutu Health Foundation estimates that ending PEPFAR would lead to more than 600,000 deaths over a decade in that country alone.

Categories Accountability, Billionaires, Budget Cuts, Corruption, Cruelty, Ethics, Evil, Extremism, Failure, Funding, Health, International, Musk, Elon, Shame, Trump

Thom Hartmann: Why Are We Crowdfunding Cancer Care and Research, While Billionaires Flourish?

By dianeravitch
March 20, 2025 //
6

Thom Hartmann asks a question that we should all ask? Why is there so much poverty in a land of plenty? Why is there such disparity in access to medical care? Why do working class people vote to elect a billionaire who is surrounded by other billionaires? Why did they think he had their best interests at heart when he has no heart?

Thom begins:

Welcome to America’s sickest reality show — where families turn to crowdfunding for cancer treatments while billionaires hoard obscene wealth. In no other developed nation do sick children depend on charity to survive, but here, it’s just another episode of our rigged system…

Consider the ubiquitous ad for the company that buys life insurance policies. The senior citizen in the ad says something to the effect of, “We learned that we could sell our policy when a friend did so to pay their medical bills.”

Wait a minute: we live in the richest country in the world, with the richest billionaires in the world, and we have people who must sell their life insurance policies — depriving their middle-class kids of an inheritance — because somebody got sick?

That sure isn’t happening in most European countries, Canada, Costa Rica, Japan, Taiwan, or South Korea. 

While every year over a half-million American families are wiped out so badly by medical debt that they must file for bankruptcy and often become homeless, the number of sickness-caused bankruptcies in all those countries combined is zero.

Another ad is for a company that sells “reverse mortgages” that let people strip equity out of their homes to cover living and medical expenses. Tom Sellick is a nice guy and all, but are there really that many seniors who are now destitute and thus must wipe out their largest store of wealth just to retire? And how much worse will this get as Elon Musk guts the Social Security administration?

Then there’s the ad for the Shriner’s hospital for children. One of the kids in the ad says to the camera that she was able to walk “because of people like you!” Here in American we must resort to crowdfunding medical care for children with deformities and birth defects?  What the hell?

Why aren’t we all funding cancer cures and help for disabled for kids with our tax dollars? With, at the very least, the tax dollars of America’s billionaires?

Oh, yeah, that’s right: billionaires in America pretty much don’t pay income taxes any more, and haven’t since Reagan. 

That ad is often followed by one for colostrum, a milk product that is supposed to help the immune system, with the ad’s pitch-lady saying something like, “There are over 90,000 chemicals in our environment that haven’t been tested for toxicity…” 

And, damn, she’s right.

Open the link and finish the article if you want to learn more.

Categories Billionaires, Cruelty, Democracy, Ethics, Evil, Failure, Funding, Health, Inequality, Poverty, Shame

Why Does Trump Want to Destroy America’s Biomedical Research Institutions?

By dianeravitch
March 17, 2025 //
30

Jeff Nesbit, who worked at both the National Institutes of Health and the National Science Foundation, wrote this article for The Contrarian. The question is one that I keep asking about many federal government programs that are being eliminated by Trump and Musk, like USAID.

Why? It makes no sense.

The fact that Trump chose Robert F.Kennedy Jr. as Secretary of Health and Human Services should have been an alarm bell; Kennedy is not only unqualified, he is stridently hostile to science.

The only beneficiary of this insane and reckless slashing of our most successful programs would be our international enemies, Russia and China. They want us to fail. Trump and Musk are making their dreams come true.

Nesbit wrote:

A siren call is cascading wildly through the corridors of every major academic center in America right now with a huge question firmly at its epicenter: Why are Health and Human Services Secretary Robert F. Kennedy, Elon Musk’s Department of Government Efficiency, and President Donald Trump’s White House team hellbent on destroying the National Institutes of Health, the world’s gold standard of biomedical research?

There isn’t an easy answer to the question, unfortunately.

What is true and known is that Kennedy’s HHS team has halted communications activities about NIH grants; throttled necessary peer-reviewed grant-review meetings; ordered the federal agency staff to review dozens of keywords in thousands of existing grants and issue termination letters based on what it finds; threatened to fire hundreds of expert reviewers and core staff at the agency; placed a cap on indirect costs that underpin basic scientific and medical research; and put woefully unprepared, lower-level career staff in charge of key functions at the agency.

The actions have ground NIH to a halt and sent shockwaves through academia and the biomedical research institutions that have created nearly all our life-saving breakthroughs in the past quarter century. Higher education leaders have halted Ph. D. programs in response. Major research labs are being shuttered or told to stop most of their research.

An American biomedical research enterprise that has been the envy of the world’s science and medical community for decades has been surprised and shocked by the careless destruction of core staff functions and almost mindless efforts to purge NIH of hundreds or thousands of grants for reasons that seem ideological at best and irrational and dangerous at worst.

The question, again, is why? Why are Kennedy, Musk and Trump determined to eviscerate the most successful biomedical research system the world has ever known—a scientific enterprise that produces life-saving medicines and leads to breakthroughs (via basic scientific and medical research) that the private sector would never support?

There was a time, once, that NIH was supported by majorities of Republican and Democratic politicians. NIH’s budget, which supports the entire biomedical research field, has grown year after year with large, non-controversial, bipartisan majorities in Congress.

Until now. Trump and Musk have clearly determined that NIH and the National Science Foundation (NIH’s companion in the world of basic scientific research funding) need to be eviscerated and then reoriented away from life-saving scientific and medical research toward some destination not yet revealed. And while this effort has been racing forward, there has been almost no pushback from politicians—at least not yet.

One reason for this is that scientists are historically apolitical and, to be blunt, quite bad at the political game that dominates Washington, D.C. Scientists aren’t nearly as adept as others at advocating for themselves or their priorities to politicians who make funding decisions…

Trump, Musk and Kennedy don’t trust scientists or academia—and clearly don’t hear or recognize the immense value that the biomedical research enterprise brings to American progress.

NSF funding built and then supported the internet and led to nearly every modern computer and basic scientific advancement we recognize in the hard sciences. NIH medical and scientific research led directly to the creation of nearly all the life-saving drugs developed in the past quarter century that Americans rely on today.

The economic impact to states with large bioscience research centers would be enormous. Tennessee, for instance, would be devastated by the NIH cuts. Vanderbilt University Medical Center is one of the top research hospitals in America. It received nearly half a billion dollars in 2024 for medical research, the second most in the country. Its budget would be cut by more than 10 percent. Nearly 50,000 jobs and 4,000 businesses in Tennessee are dependent on the biosciences research enterprise in the state and would be severely impacted by the NIH cuts.

Other states, such as Missouri, Michigan, Pennsylvania, and North Carolina, would be similarly devastated by the cuts. Washington University in St. Louis received $717 million from NIH last year and would lose an estimated $108 million. The University of Michigan received $708 million and stands to see a cut of $119 million. Two Pennsylvania universities – the University of Pennsylvania and the University of Pittsburgh – received nearly $1.3 billion and could lose $244 million. All of those add up to massive job losses and devastating impacts to each state’s economies.

But Trump, Musk and Kennedy don’t trust the scientific and medical research enterprise. They don’t hear the entreaties by scientists who merely want to do great work that benefits the greater good. And they don’t listen to those calls of bewilderment from scientific and medical research leaders that are falling on deaf ears. This could be happening because scientists are particularly bad at politics.

But it also could be that Trump, Musk and Kennedy are willing to destroy the most successful biomedical research enterprise the world has ever known simply because it is a direct way to harm elite academic institutions that they believe harbor leaders and academics who are ideologically opposed to their aims and politics.

And that is a dangerous story that every American needs to hear and fully take to heart right now—before the Trump administration capriciously destroys a hundred years of scientific and medical progress in a matter of weeks or months.

Jeff Nesbit was the assistant secretary for public affairs at Health and Human Services (which includes NIH) in the Biden administration, and the director of legislative and public affairs at NSF during the Bush and Obama administrations.

After I put this article in the queue, I came across this article about John’s Hopkins University:

More than 2,000 positions related to global health are being cut from the Johns Hopkins University after the Baltimore institution saw $800 million in federal grants disappear, a spokesperson confirmed Thursday.

Hopkins’ medical school; the Bloomberg School of Public Health, including its Center for Communication Programs; and JHPIEGO, the university’s health initiative that focuses on global public health, will be affected by the cuts. USAID was the main funder for both JHPIEGO and CCP.

“This is a difficult day for our entire community. The termination of more than $800 million in USAID funding is now forcing us to wind down critical work here in Baltimore and internationally,” Hopkins’ spokesperson said in a statement.

The Trump administration, through advisor Elon Musk and his Department of Government Efficiency, is slashing federal spending across agencies in an effort to end wasteful spending. Such cuts have an outsized effect on Hopkins, which comes in first of all universities in federally funded research. By extension, those cuts affect Baltimore and Maryland, where Hopkins is the city and state’s largest largest private employer. Hopkins says it accounts for more than $15 billion in economic output in the state.

The funding cuts for research institutions are hurting universities in multiple states.

Who determines that basic research in science and medicine are unimportant?

Categories Accountability, Budget Cuts, Corruption, Democracy, Ethics, Evil, Extremism, Funding, Health, Insane, Musk, Elon, Science, Trump, Tyranny

Trump Cuts School Program to Buy Food from Local Farmers

By dianeravitch
March 15, 2025 //
6

Trump wants to wipe out any program associated with Biden, no matter who is hurt. He wants to fire every employee hired during the previous four years. The State Department just announced revocation of security clearances for everyone who worked in the State Department during the Biden administration.

Never have we seen a President so driven by spite.

One of Trump’s latest cuts eliminates a $1 billion + program that enabled schools to buy fresh food from local farmers. The schools could offer healthy fresh foods, and the farmers supplemented their income. Win-win.

Trump killed it.

The Agriculture Department has axed two programs that gave schools and food banks money to buy food from local farms and ranchers, halting more than $1 billion in federal spending.

Roughly $660 million that schools and child care facilities were counting on to purchase food from nearby farms through the Local Food for Schools Cooperative Agreement Program in 2025 has been canceled, according to the School Nutrition Association.

State officials were notified Friday of USDA’s decision to end the LFS program for this year. More than 40 states had signed agreements to participate in previous years, according to SNA and several state agencies.

The Local Food Purchase Assistance Cooperative Agreement Program, which supports food banks and other feeding organizations, has also been cut. USDA notified states that it was unfreezing funds for existing LFPA agreements but did not plan to carry out a second round of funding for fiscal year 2025.

In a statement, a USDA spokesperson confirmed that funding, previously announced last October, “is no longer available and those agreements will be terminated following 60-day notification.

The spokesperson added: “These programs, created under the former Administration via Executive authority, no longer effectuate the goals of the agency. LFPA and LFPA Plus agreements that were in place prior to LFPA 25, which still have substantial financial resources remaining, will continue to be in effect for the remainder of the period of performance.” 

The Biden administration expanded the spending for both programs to build a more resilient food supply chain that didn’t just rely on major food companies. Last year, USDA announced more than $1 billion in additional funding for the programs through theCommodity Credit Corporation, a New Deal-era USDA fund for buying agricultural commodities.

The Trump administration’s move to halt the programs comes as school nutrition officials are becoming increasingly anxious about affording healthy food with the current federal reimbursement rate for meals. As food costs have risen in the last few years, more people are turning to food banks and other feeding organizations to supplement their increased grocery bills.

Now, what he have against Canada?

Categories Budget Cuts, Disruption, Extremism, Funding, Health, Rural Schools, Stupid, Trump
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