Mass layoffs at the Department of Health and Human Services (HHS) portend a future with more infectious disease outbreaks, chronic conditions, and a widening gulf in health between the most affluent and vulnerable, experts told the Guardian.
Further, they said, the Trump administration’s multipronged attacks on American science represent a generation-defining experience, a new chapter in the “boom and bust” cycle of health funding, and a masterclass in branding, as Donald Trump and the secretary of health and human services, Robert F Kennedy Jr, dismantle institutions in the name of improving them.
“I fear for the country,” said Dr Steven Woolf, a population health researcher at Virginia Commonwealth University and a family physician. “Many people not too fond of bureaucracy may feel this big shakeup in Washington DC is well overdue. But I don’t know that people appreciate what’s coming their way – much like a far-off tsunami warning.”
Experts said they see the chaos, confusion and upheaval – from the ideological purge of basic research grants early in Trump’s tenure to more expected layoffs at the National Institutes of Health – as leading to shorter, sicker American lives.
“These are cuts that are not driven by a rational strategy to improve population health,” said Woolf. “This is all being done in the name of ‘making America healthy again’ – that’s the incredibly bizarre gaslighting that’s going on.”
Source: The Guardian, 9 April 2025
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