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Trump’s Insane War on Science

By dianeravitch
April 29, 2025 //
3

Since Trump invited Elon Musk and his DOGE team to cut the federal budget, the federal government has been subject to a bloodbath of firings, layoffs, and closed agencies. Some of the most shocking budget cuts have focused on scientific research. Reckless cuts have been imposed on the National Science Foundation and on every part of the Department of Health and Human Services, where the Secretary–conspiracy theorist Robert F. Kennedy Jr.–is crushing genuine research and prioritizing his obsession with vaccines as the cause of autism, which has been debunked.

Trump has blocked the payment of millions of dollars to universities that fund basic science research. He is using those blocks to force universities to stop DEI programs.

We can understand why Kennedy wants to destroy science: it has an annoying tendency to undercut his pet conspiracy theories. No matter what science says, he will continue to warn the public that vaccines are dangerous, that fluoridating water is dangerous, and anything that contradicts his ideology is fake, regardless of how many scientists disagree. WHO you gonna believe? The addled RFK Jr. or the world’s top scientists? Or Ghostbusters?

But we do not know why Trump put the nation’s public health agencies into the hands of a man who does not respect science.

Why does Trump want more children to die of measles? Why does he allow Elon Musk to shut down agencies like USAID that have saved millions of lives? Why he is cancelling grants to universities for basic scientific research? Why does he want to stop the work of scientists who are seeking cures for cancer, tuberculosis, AIDS, and other lethal diseases? I don’t know.

Frankly, the cuts are coming so fast that I can’t keep track of them all. I hope soon to find a comprehensive summary of the destruction of federally-funded scientific research.

In the meanwhile, this is the best overview I have seen.

Alan Burdick of the New York Times wrote this story about Trump’s rampage against scientific research:

Late yesterday, Sethuraman Panchanathan, whom President Trump hired to run the National Science Foundation five years ago, quit. He didn’t say why, but it was clear enough: Last weekend, Trump cut more than 400 active research awards from the N.S.F., and he is pressing Congress to halve the agency’s $9 billion budget.

The Trump administration has targeted the American scientific enterprise, an engine of research and innovation that has thrummed for decades. It has slashed or frozen budgets at the National Institutes of Health, the National Science Foundation, the Centers for Disease Control and Prevention and NASA. It has fired or defunded thousands of researchers.

The chaos is confusing: Isn’t science a force for good? Hasn’t it contained disease? Won’t it help us in the competition with China? Doesn’t it attract the kind of immigrants the president says he wants? In this edition of the newsletter, we break out our macroscope to make sense of the turmoil.

American research thrives under a patronage system that funnels congressionally approved dollars to universities, national labs and institutes. This knowledge factory employs tens of thousands of researchers, draws talent from around the world and generates scientific breakthroughs and Nobel Prizes.

It’s a slow-moving system, because science moves slowly. Discoveries are often indirect and iterative, involving collaboration among researchers who need years of subsidized education to become expert. Startups and corporations, which need quick returns on their investment, typically can’t wait as long or risk as much money.

Science is capital. By some measures, every dollar spent on research returns at least $5 to the economy.

President Trump is less patient. He has defunded university studies on AIDS, pediatric cancer and solar physics. (Two prominent researchers are compiling lists of lost N.I.H. grants and N.S.F. awards.) The administration has also laid off thousands of federal scientists, including meteorologists at the National Weather Service; pandemic-preparedness experts at the C.D.C.; black-lung researchers at the National Institute for Occupational Safety and Health. A next-generation space observatory, already built with $3.5 billion over a decade, awaits a launch that now may never happen.

Administration officials offer various reasons for the crackdown: cost-cutting, government efficiency, “defending women from gender ideology extremism.” Many grants were eliminated because they contain words, including climate, diversity, disability, trans or women. Some drew the administration’s ire because the applications included D.E.I. statements required by the previous administration.

It doesn’t take a telescope to see where this leads. American leaders have historically seen science as an investment in the future. Will this administration foreclose it? One-third of America’s Nobel Prize winners have been foreign-born, but an immigration crackdown has swept up scientists like Kseniia Petrova, a Russian who studied aging at Harvard and now sits in a Louisiana detention center. Australian academics have stopped attending conferences in the U.S. for fear of being detained, The Guardian has reported.

Now some American scientists are looking for the exits. France, Canada and other countries are courting our researchers. In a recent poll by the journal Nature, more than 1,200 American scientists said they were considering working abroad. The journal’s job-search platform saw 32 percent more applications for positions overseas between January and March 2025 than during the same period a year earlier.

These are mechanical threats to science — who gets money, what they work on. But there is a more existential worry. The Trump administration is trying to change what counts as science.

One effort aims at what science should show — and at achieving results agreeable to the administration. The health secretary, Robert F. Kennedy Jr., wants to reopen research into a long-debunked link between vaccines and autism. He doesn’t want to study vaccine hesitancy. The National Science Foundation says it will no longer fund “research with the goal of combating ‘misinformation,’ ‘disinformation,’ and ‘malinformation’ that could be used to infringe on the constitutionally protected speech rights of American citizens.” A Justice Department official has accused prominent medical journals of political bias for not airing “competing viewpoints.”

Another gambit is to suppress or avoid politically off-message results, even if the message isn’t yet clear. The government has expunged public data sets on air quality, earthquake intensity and seabed geology. Why cut the budget by erasing records? Perhaps the data would point toward efforts (pollution reduction? seabed mining limits?) that officials might one day need to undertake. We pursue knowledge in order to act: to prevent things, to improve things. But action is expensive, at a moment when the Trump administration wants the government to do as little as possible. Perhaps it’s best to not even know.

One sure way to shut down knowledge is to question who can gather it. The administration is painting scientists with the same liberal brush it has applied to academics more broadly — what Project 2025 describes as “the ‘enlightened,’ highly educated managerial elite.” The N.I.H. is controlled by “a small group of highly paid and unaccountable insiders,” the Project 2025 authors write. The regulatory work of the Environmental Protection Agency “should embrace so-called citizen science” and be left “for the public to identify scientific flaws and research misconduct.”

In science, as in a democracy, there’s plenty of room for skepticism and debate. That’s what makes it work. But at some point, calls for “further research” become disingenuous efforts to obscure inconvenient facts. It’s an old playbook, exploited in the 1960s by the tobacco industry and more recently by fossil-fuel companies.

Now it’s being weaponized by the government against science generally. Facts are elite, facts are fungible, facts are false. And once nothing is true, anything can be true.

Categories Ethics, Evil, Extremism, Fascism, Health, Musk, Elon, Research, Science, Trump, Tyranny

Trump Declares All State Environmental Laws to be Null and Void

By dianeravitch
April 10, 2025 //
37

Trump signed an executive order declaring all state laws that address climate change to be null and void. He claims that efforts to protect the environment are a hindrance to energy production. So ignoring climate change is important to national security because we need oil and gas more than we need clean air and water.

Remember when Trump said he was eliminating the Departnent of Education because states should manage their own schools and the federal government should get out of the way? Why can’t states make decisions about clean air, clean water, and auto efficiency?

Categories Environment, Ethics, Evil, Extremism, Science, Stupid, Trump

Washington Post: Social Security Facing Chaos After DOGE Cuts

By dianeravitch
April 9, 2025 //
6

What is Elon Musk’s agenda? His DOGE teams are wreaking havoc across the federal government. His claims of saving “billions” are making government inefficient. Thousands of researchers, scientists, and essential personnel have been fired. Is he working to destroy our government? Or is he settting up a scenario of failure as a prelude to privatization?

The Washington Post reported on chaos at the Social Security Administratuin:

Retirees and disabled people are facing chronic website outages and other access problems as they attempt to log in to their online Social Security accounts, even as they are being directed to do more of their business with the agency online.

The website has crashed repeatedly in recent weeks, with outages lasting anywhere from 20 minutes to almost a day, according to six current and former officials with knowledge of the issues. Even when the site is back online, many customers have not been able to sign in to their accounts — or have logged in only to find information missing. For others, access to the system has been slow, requiring repeated tries to get in.

The problems come as the Trump administration’s cost-cutting team, led by Elon Musk, has imposed a downsizing that’s led to7,000 job cuts and is preparing to push out thousands more employees at an agency that serves 73 million Americans. The new demands from Musk’s U.S. DOGE Service include a 50 percent cut to the technology division responsible for the website and other electronic access.

Many of the network outages appear to be caused by an expanded fraud check system imposed by the DOGE team, current and former officials said. The technology staff did not test the new software against a high volume of users to see if the servers could handle the rush, these officials said.

The technology issues have been particularly alarming for some of the most vulnerable Social Security customers. For almost two days last week, for example, many of the 7.4 million adults and children receiving monthly benefits under the anti-poverty program known as Supplemental Security Income, or SSI, confronted a jarring message that claimed they were “currently not receiving payments,” agency officials acknowledged in an internal email to staff.

The error messages set off widespread panic until recipients discovered that their monthly checks had still been deposited in their bank accounts. Another breakdown disabled the SSI system for much of the day on Friday, prompting claims staff to cancel appointments because they could not enter new disability claims in the system and blocking some already receiving benefits from gaining access to their accounts.

“Social Security’s response has been, ‘Oops,’” said Darcy Milburn, director of Social Security and health-care policy at the Arc, a national nonprofit that advocates for people with disabilities. The group fielded dozens of calls last week from nervous clients who saw the inaccurate message and assumed their monthly check, usually paid on the first of the month, would not arrive.

“It’s woefully insufficient when we’re talking about a government agency that’s holding someone’s lifeline in their hands,” Milburn said.

The disruptions are occurring as acting commissioner Leland Dudek and the DOGE team move to lay off large swaths of the workforce in a new phase of downsizing. Thousands of employees already have been pushed out — many in customer-facing roles, others with expertise in the agency’s cumbersome technology systems. At least 800 of the 3,000 employees left in the division that manages all of the Social Security databases face layoffs, a senior official said on Friday. The newly named chief information officer, Scott Coulter, a Musk-aligned private equity analyst, has demanded a cut of 50 percent, the official said.

The network outages are one in a cascade of blows to customer service that also have hobbled phone systems and field office operations as the workforce shrinks.

A surge in visitors to the website is overwhelming the computer system as customers — nervous that the rapid changes at the agency will compromise their benefits — download their benefit and earnings statements and attempt to file claims. President Donald Trump has said that his administration will not reduce Social Security benefits.

The chaos could accelerate starting April 14, when new identification measures are set to take effect that will require millions of customers applying for benefits to authenticate their identity online, part of the administration’s campaign to root out allegedly fraudulent claims.

“We’re just spiking like crazy,” said one senior official, who, like others in this article, spoke on the condition of anonymity because they were not authorized to speak publicly about agency operations. “It’s people who are terrified that DOGE is messing with our systems. It’s the sheer massive volume of freaked-out people.”

The Social Security press office said in a statement that officials are “actively investigating the root cause” of the incidents, which they called “brief disruptions” averaging about 20 minutes each with the exception of the SSI error message. But on several occasions, including during an outage last Monday, customers were shut out of the website for hours. The system was back online last Monday after two hours, but lingering issues lasted through the afternoon while all backlogged queries were processed, current and former officials said. And a system upgrade on a Saturday in late March took several hours longer than anticipated and knocked out the network.

Three times in a recent 10-day stretch, the online systems the field office staff rely on to serve the public have crashed, said one employee in an Indiana office.

The downed programs included tools employees use to schedule visits, to see who has booked an appointment and to check who has arrived, the employee said. It is unheard-of for the system to fail this often, and each outage has led to chaos, they said.

Suddenly forced offline as they were taking claims, the staff members scribbled down clients’ information, then had to wait until later to load it into the computer, doubling or tripling the amount of time and work involved, the employee said.

In other instances, managers or security guards improvised a solution after the online scheduling system failed, the employee said. They walked out to the reception area, wrote down numbers on paper slips and started handing them out to people waiting in line.

The network crashes appear to be caused by an expansion initiated by the Trump team of an existing contract with a credit-reporting agency that tracks names, addresses and other personal information to verify customers’ identities. The enhanced fraud checks are now done earlier in the claims process and have resulted in a boost to the volume of customers who must pass the checks.

But the technology staff did not test the software against a high volume of users to see if the servers could handle the rush, current and former officials said. Connectivity issues and bugs with the expanded system have caused the portal that manages log-ins and authentication for many Social Security applications to go down, officials said.

At a weekly operations meeting on March 28 that was made public last week, Wayne Lemon, deputy chief information officer for infrastructure and IT operations, acknowledged the network crashes and said, “While they’ve been brief, we prefer no outages.” He said the outages were under investigation and may involve “challenges we’ve experienced with a number of partners.” Part of the problem may be that the outages have occurred during “high volume use of the network.”

“Is there a spike in demand or something in the environment causing the issues?” Lemon said.

Customers, meanwhile, are growing more frustrated.………..

What readers are saying

The comments express strong concerns about the recent IT staff cuts and website outages at the Social Security Administration, suggesting these actions are deliberate attempts to undermine the system. Many commenters believe this is part of a broader strategy to privatize Social Security.

Categories Accountability, Budget Cuts, Democracy, Disruption, Economy, Ethics, Evil, Extremism, Health, Hoax, Ignorance, Musk, Elon, Science, Stupid, Trump

Former Director of USAID: Millions Will Die Because of Musk’s Chainsaw

By dianeravitch
April 9, 2025 //
2

This important article appeared on the blog called “Inside Medicine,” which appears on Substack. It describes the terrible consequences of Elon Musk’s decision to eliminate USAID. Many of us are still wondering how he got the authority to dismantle an agency authorized and funded by Congress. Many of us wonder why the Republicans in Congress ceded their Constitutional powers to this one man.

Musk said merrily that he was “feeding it to the woodchipper.” He strutted onstage at a Trump rally, waving a bejeweled chainsaw to flaunt his power. What a cruel and callous man he is. How little he cares about human life. He tells us we must procreate (I think he means whites), yet he is completely uncaring about the people who will die because he cut off medical services, medicine, and food to those in need.

Inside Medicine is written by Dr. Jeremy Faust, MD, MS, a practicing emergency physician, a public health researcher, writer, spouse, and girl Dad. He blends his frontline clinical experience with original and incisive analyses of emerging data to help readers make sense of complicated and important issues. Thanks for supporting it!

This past week, Dr. Atul Gawande briefed US Senators on the effects that the destruction of USAID is already having. Here are the facts we need to know. 

Over the last couple of months, the Inside Medicine community has been fortunate to hear and learn about USAID directly from Dr. Atul Gawande. 

Today, I’m sharing the first public release of Dr. Gawande’s latest update provided to members of the United States Senate, remarks that were delivered in person in Washington, D.C. last week. 

This is essential and up-to-date information that we all need to know. When people ask what the human costs of this administration’s brazen actions have been, we must respond with facts. Well, here they are…

First, a quick reminder: Inside Medicine is 100% supported by reader upgrades.

Thank you!👇

(And, as always, if you can’t upgrade due to financial considerations, just email me and it’s all good). 

Do you have any idea where things stand with USAID? With everything else going on, I realized that even I needed an update. So, I again reached out to our friend Dr. Atul Gawande, who, until noon on January 20, 2025, ran global health for USAID.

Here’s where things stand: While the Supreme Court ruled last month that the Trump administration still has to pay its bills for work already completed by USAID contractors, that was not exactly a high bar to clear—and even that decision was a narrow 5-4 ruling. Meanwhile, all of the contract terminations and personnel purges have been permitted to go through while the overall issues are litigated. Therefore, the reality is that even if the courts eventually determine that the complete gutting of USAID was not lawful, it will already be a fait accompli—that is, practically impossible to reverse. 

So, what of USAID’s crucial work remains, and what has—in Elon Musk’s own words—already been ‘fed to the wood chipper’? In testimony to members of the US Senate this past week, Dr. Gawande summarized what has already been destroyed by callous and brutal DOGE-directed terminations since January. We are only just beginning to be able to estimate the number of deaths these cuts will cause in the coming months and years, but unless something changes, it will surely amount to millions of human lives lost. A particularly depressing aspect is that these are senseless deaths (not to mention other suffering from disease and poverty), without reasonable or accurate justifications, as Dr. Gawande explicitly delineated in his presentation. 

I’m grateful that Atul has provided his remarks for publication here in Inside Medicine. Please read his words and share them. 

Senate Roundtable on The Dangerous Consequences of Funding Cuts to U.S. Global Health Programs.

Tuesday, April 1 from 2:30-3:30PM. U.S. Senate Visitors’ Center, Room 200/201.

Testimony of Atul Gawande, MD, MPH:

I was the Assistant Administrator for Global Health at USAID during the last administration. It was the best job in medicine most people haven’t heard of. I led 800 health staff in headquarters working alongside more than 1600 staff in 65-plus countries. With less than half the budget of my Boston hospital system – about $9 per U.S. household – they saved lives by the millions and contained disease threats everywhere.

Before my departure on January 20, I briefed this committee about several major opportunities ahead for the next few years. Among them were three breakthroughs. The journal Science had just declared one of them the scientific breakthrough of 2024. American scientists had developed a drug called Lenacapavir that could prevent or treat HIV with a single injection that lasted six months and perhaps even a year. Deploying this game-changer in high-risk communities through PEPFAR could finally bring an end to HIV as a devastating public health threat.

Similarly, USAID launched a trial of a four-dose pill that could prevent tuberculosis in exposed individuals and dramatically reduce cases – while three TB vaccines complete testing.

And USAID was just about to scale up a novel, inexpensive package of existing drugs and treatments that was found to reduce severe hemorrhage after childbirth – the leading cause of maternal death – by 60%.

American companies, nonprofits, and scientists played key roles in these breakthroughs, and they were poised to transform global health over the next five to ten years. The next administration had no reason not to pursue these objectives. Congress had already funded them. There was nothing partisan about them at all.

But instead of saving millions of lives, we got surgery with a chainsaw. The new administration not only shuttered this work, they fired the staff of the entire agency, terminated 86% of its programs, and kneecapped the rest – all against Congressional directives. They dismantled the US’s largest civilian force advancing global stability, peace, economic growth, and survival. And they have done it in a way maximized loss of life and mismanagement of taxpayer dollars.

Here are few specific examples of the global health damage:

● Our 50-country network for stronger surveillance to deadly diseases from bird flu to swine fever – gone.

● Our emergency response system that cut response times to global outbreaks from >2 weeks to <48 hours – gone.

● AIDS programs to prevent new cases of HIV in high-risk populations – gone.

● Programs for preventing child and maternal deaths that reached 93 million women and children under 5 in 2023 and added 6 years of life on average – cut 92%.

● Lifesaving tuberculosis programs – cut 56%.

● Lifesaving water and sanitation programs – cut 86%.

● Funding for Gavi, the global vaccine alliance, which was set to vaccinate half a billion children — terminated and, if not restored, will cost 500,000 lives a year and drive higher exposure to measles in the US.

The damage is already devastating. And it is all part of a larger dismantling of America’s world-leading capacity for scientific discovery, health care delivery, and public health that goes well beyond USAID. They are using the same playbook to purge staff and destroy programs in across our entire domestic infrastructure in government, universities, and medical center. And they are inserting political controls on NIH science research, FDA approvals, and CDC guidance.

For the sake of power, they are destroying an enterprise that added more than 30 years to US life expectancy and made America the world leader in medical technology and innovation. We need you in Congress to stop this process. USAID cannot be restored to what it was. But we must salvage what we can of our health, science, and development infrastructure and stop the destruction.

Thank you, Dr. Gawande!

Categories Cruelty, Disruption, Ethics, Evil, Extremism, Funding, Health, International, Musk, Elon, Science, Trump

Washington Post: Trump and RFK Jr. Are Destroying Public Health Agencies

By dianeravitch
April 6, 2025 //
4

The Washington Post editorial board warned that Robert Kennedy’s deep cuts at the Department of Health and Human Services will damage the economy. They will also damage the nation’s health. Kennedy is not laying off paper-pushing bureaucrats. He is firing scientists and closing divisions working on drugs and cures for dangerous diseases and conditions.

The editorial board wrote:

The market took no time to weigh in on Robert F. Kennedy Jr.’s mass layoffs at the nation’s health agencies. As Health and Human Services employees arrived to work on Tuesday to discover their badges no longer worked, stock prices for health-care and biotech companies plunged. By the end of the day, the S&P’s index for the pharmaceutical industry had dropped 4 percent.

This should be a warning to the new HHS secretary and President Donald Trump: The employees of these institutions are as essential to the U.S. economy as they are to public health.

HHS officials have defended their planned 25 percent reduction in force (affecting about 20,000 employees) as a means to achieve efficiency. They claim it will save taxpayers about $1.8 billion annually. But this amount — minuscule relative to the multitrillion-dollar federal budget — could be wiped out by the economic damage that comes from discarding broad institutional knowledge.

The Food and Drug Administration, for instance, is slated to shed 3,500 staffers, or about 19 percent of its workforce. Among those who received layoff notices on Tuesday were many experts who assist with reviews at the Office of New Drugs. The director of this office, Peter Stein, resigned after being reassigned to patient affairs. Other top leaders have also been pushed out, including Hilary Marston, the FDA’s chief medical officer, and Peter Marks, its highest-ranking vaccine scientist.

HHS insists these layoffs will not weaken the agency’s core functions, especially drug approvals — but given how many high-level positions now sit vacant, this is hard to believe. Scott Gottlieb, who was FDA commissioner during Trump’s first term, said on X that the “barrage” threatens to bring “frustrating delays for American consumers, particularly affecting rare diseases and areas of significant unmet medical need.”

The National Institutes of Health, a sturdy engine of biomedical innovation, also saw many of its leaders defenestrated. Directors of at least four of the 27 institutes that make up the agency were removed from their posts, including Jeanne Marrazzo, the country’s most senior infectious-diseases official.

Meanwhile, hundreds of other layoffs at the agency’s research centers threaten to diminish its scientific prowess. The National Human Genome Research Institute, for one, which has made countless discoveries about the roles genes play in diseases, lost dozens of staffers as well as its acting chief, Vence L. Bonham Jr., who was installed just last month.

This turmoil comes amid the administration’s attempt to slash funding that NIH provides to outside research institutions. The administration seems not to care about U.S. investments in science that have been essential to building and maintaining a strong economy.

Equally concerning is what these layoffs could mean for public health. At the Centers for Disease Control and Prevention, which is set to lose 2,400 workers (an 18 percent reduction in staff), HHS cost-cutters have erased entire offices, including those dedicated to curbing HIV, tuberculosis, tobacco use, lead poisoning, substance abuse, birth defects and many other health threats. Kennedy — who also laid off many of the department’s communications staffers — has provided little rationale for any of these cuts. But if his goal is to save money, this is the wrong strategy. By keeping health-care costs down, public health programs often bring substantial returns on investment.

What makes these risky cuts especially baffling is that they’re being made only a few years after the covid-19 pandemic taught Americans about the need for a strong public health system, and amid the worst domestic measles outbreak in years. Bird flu also has begun spreading to humans — yet among those laid off were nearly all of the leading staffers at the FDA’s Center for Veterinary Medicine, which is assisting the government with its bird flu response.

It’s true that HHS’s vast bureaucracy has long needed serious — even radical — reforms to eliminate waste and make its agencies more effective. The CDC often acted clumsily during the pandemic and struggled to communicate effectively with the public. And although the FDA was streamlined during the Biden administration, it could use innovative ideas to energize its food division — perhaps by making it a stand-alone agency.

But the job cuts this week do not amount to efficient reform. The Trump administration has shown great skill at “moving fast and breaking things,” to borrow the motto used by chief bureaucracy-smasher Elon Musk. But Trump and Kennedy should remember, too, that when “you break it, you buy it.” The damage they do to the country’s public health and biomedical research infrastructure is their responsibility, and they will bear the political consequences.

Categories Accountability, Budget Cuts, Disruption, Extremism, Funding, Health, Science, Stupid, Trump

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.

Please open the link to continue reading the article.

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

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.

Open the link to continue reading.

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 Takes Control of the Smithsonian

By dianeravitch
March 28, 2025 //
23

Trump can’t keep his hands off anything. In his mad dash to be king, he has decided to reshape the Smithsonian Institution. Will he close exhibits he doesn’t like? We know he’s completely ignorant of history, so whatever he does will suit his prejudices. He has put JD Vance in charge. Will he withdraw references to “the trail of tears”? Will he remove references to the brutality of slavery?

Kelsey Ables of The Washington Post reported:

The Smithsonian, a sprawling, 21-museum institution tasked with telling the story of the United States and much more, could see changes under President Donald Trump, who in a Thursday executive order set his sights on ridding the institution of ideas that he says “undermine the remarkable achievements of the United States.”

According to a White House fact sheet summarizing the order, the president has instructed the vice president “to eliminate improper, divisive, or anti-American ideology” from the institution’s entities.

Trump’s unprecedented call to influence programming at an institution that has operated largely independently for its more than 175-year history raises questions about the fate of millions of items the country holds in what’s sometimes called “the nation’s attic.”

But who runs and funds the Smithsonian and can Trump overhaul it like he is the federal government? Here’s what to know.

The Smithsonian was created by Congress in 1846 with funds from James Smithson, a British scientist who left his estate to the United States to establish an institution “for the increase and diffusion of knowledge.” Smithson never visited the United States, though his remains are now housed at the Smithsonian Institution Building, known as the Castle.

These days, the Smithsonian is about 62 percent federally funded by a combination of congressional appropriation along with federal grants and contracts. The rest comes from trust funds or nonfederal sources, which include endowments, donations and memberships, as well as revenue from magazines, restaurants, concessions and more. The institution’s federal budget for the 2024 fiscal year was more than $1 billion.

Is the Smithsonian a government agency?

No, the Smithsonian is not a federal agency but a “trust instrumentality” of the United States, tasked with carrying out the responsibilities undertaken by Congress when it accepted Smithson’s donation. It’s overseen by the secretary, currently Lonnie G. Bunch III, who is appointed by the Board of Regents — made up of the chief justice, vice president, three members of the Senate, three members of the House and nine citizens.

The Smithsonian describes itself as the “world’s largest museum, education, and research complex” and includes 21 museums — two in development — 14 education and research centers, and the National Zoo. It holds a dizzying array of objects, from fighter jets hanging from the high ceilings of the Udvar-Hazy Center all the way down to the tiny specimens at the National Museum of Natural History.

Categories Art, Bigotry, Disruption, Freedom to Learn, Freedom to Read, Funding, Science, Stupid, Trump, Vance, J.D.

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
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