My quick reaction: this is a bloodbath. Some stunning examples:
- Complete elimination of the National Center for Chronic Disease Prevention and Health Promotion. (From the guy who keeps talking about chronic diseases as leading killers?)
- Elimination of the Office of Population Affairs. This funded the Title 10 program, which provides contraception for low-income and uninsured women. (So...they want poor women to have more unintended pregnancies?)
- Elimination of HIV prevention. (So, they'd rather let people get infected and pay the cost of antiviral treatment for life?)
- Elimination of newborn screening programs for genetic diseases and hearing loss. (We no longer care about saving babies from lifelong disabilities?)
The Constitution says that Congress, not OMB, writes the budget. Call you representative and send a copy of this proposed act of abject cruelty to them.
Thank you for sharing this Jeremy! I already called my congressional representative’s office and will be sharing this information with as many people as I can to get everyone taking about it!
I work in public health as a state employee in a rural red state. This will mean so many layoffs. I am shocked at the casual cruelty and stupidity of these cuts.
I don’t think people understand how many state employees will be laid off due to these cuts. We always laid of 67 last week due to them taking back Covid grants. i am 57 and watching my career disappear along airh my 401k.
I completely understand. I have 18 years of state service and am partially funded by CDC prevention funds. I’m too young to retire, yet there won’t be funding for our work anywhere across state government. Our state doesn’t prioritize public health funding so there won’t be state or local money to fill the gaps. It also hurts my heart thinking about plans, projects and funds we’ve committed to local communities could all just be eliminated. This plan will have huge impacts for millions of people. It’s scary and heart breaking all at once.
I’m in the same boat. I have 23 years of state service and need 28 to retire. I’m 57 and feel like it will be next to impossible to get a job at my age. I am not a nurse so it will be even harder. I manage a public health clinic and many of the programs we offer are dependent on Title X which seems to be completely eliminated and other things like newborn screenings and childhood lead checks which also seem like they are being eliminated. I am wondering where the Vaccines for Children program is on this budget. I don’t see it but won’t be surprised if they pull funding for that. Our state is pretty rural so a lot of hospitals will close. The sad thing is most of the front line people I work with voted for Trump and don’t even realize they are about to lose their jobs.
Also, RWCA funded health care gone? Sickle cell services gone, EMS for children gone. Newborn screening gone. It's like we are leaping off a cliff because of this idiot
I’ve been continuously funded by NCCIH since 2003—possibly one of their longest-funded investigators, going back to my graduate school days when the center was still known as NCCAM. I’ve used that support wisely: my research has resulted in eight issued patents, over 100 scientific publications, and meaningful contributions to the field.
But now, as outlined on page 35 of this plan, the new administration intends to eliminate NCCIH. This would effectively erase not only my relevance as a scientist, but also my ability to continue this work at all.
How did we get to this point? And what does this mean for the millions of Americans who use herbal supplements every day—who depend on science to inform them about the safety and efficacy of natural products?
"Ordinary" (non-medical, health administration type) human here. I'm not familiar with all these programs, offices, etc. so I don't really understand what they all affect or how they have been arranged/assigned- but I understand that it's fundamentally altering the entire approach to health, and it doesn't look good. (understatement, obviously)
With all the evisceration that has already occurred, it is extremely unlikely that "Humpty Dumpty" can ever be put back together again (as we all know, poor humpty). So it's very likely anything done to restore any of the cuts in the future will have to be completely recreated from scratch.
If this is the new reality, do any of these structural realignments actually hold the potential to be a solid base to rebuild a more comprehensive system if the opportunity presents itself in the future? Do any of these rearrangements actually make sense from an efficiency/effectiveness alignment perspective? Or is it all a big jumble?
I am a public health nurse. I had to stop reading because I could no longer see through my tears. The idiocy, the cruelty, the destruction. This is going to be massive. They already started “restructuring “ where I work. The catastrophic health consequences will also come with devastating economic impact.
There's so much I could talk about but one of the most frustrating is eliminating Head Start – for every $1 invested, America reaps a ROI between $7-$9.1. But this is all in the name of government efficiency!!
Also, we couldn't have an official document from the President that doesn't include:
- thanking DOGE
- references to "woke NGOs" promoting abortion, "high-risk sexual behavior", and "inflicting gender ideology" on children
- immigrant slander (the only programs immigrants [including permanent residents] are eligible for are Medicaid [depending on the state], school breakfast/lunch programs [soon no child will have those!], and WIC).
Sorry, that's not what I meant to imply – on pg. 46 (pg. 48 of the PDF) under the heading "Preserve Public Benefits for American Citizens" it states, "the Budget ends the dependence of immigrants on hard-earned taxpayer resources by making all non-citizens, including lawful permanent residents, ineligible for public benefit programs." It's outside the scope of this document but USDA has announced a $12B funding cut for school meals, including the free/reduced lunch programs that all children were eligible for.
Where do the state and local public health agencies look to for funding, surveillance data, and technical assistance in this scheme? How in the world can such an organizational proposal meet the acute and long term needs of protecting, promoting, and safeguarding the public’s health?!
Where are the mandatory EEO and FOIA offices? These offices have been shut down and no one at HHS is available to discuss or process reasonable accommodations, mediations, and complaints. This is opening the door to extensive lawsuits and lawlessness within each Operating Division. CALL YOUR CONGRESSIONAL REP AND SENATORS ASAP. Call your Governor too as many of these offices are HQ’d in Maryland, Georgia, and elsewhere.
My quick reaction: this is a bloodbath. Some stunning examples:
- Complete elimination of the National Center for Chronic Disease Prevention and Health Promotion. (From the guy who keeps talking about chronic diseases as leading killers?)
- Elimination of the Office of Population Affairs. This funded the Title 10 program, which provides contraception for low-income and uninsured women. (So...they want poor women to have more unintended pregnancies?)
- Elimination of HIV prevention. (So, they'd rather let people get infected and pay the cost of antiviral treatment for life?)
- Elimination of newborn screening programs for genetic diseases and hearing loss. (We no longer care about saving babies from lifelong disabilities?)
The Constitution says that Congress, not OMB, writes the budget. Call you representative and send a copy of this proposed act of abject cruelty to them.
Thank you for sharing this Jeremy! I already called my congressional representative’s office and will be sharing this information with as many people as I can to get everyone taking about it!
I work in public health as a state employee in a rural red state. This will mean so many layoffs. I am shocked at the casual cruelty and stupidity of these cuts.
Same! This is a very hard time to be in public health, and even harder in a red state where there’s political momentum supporting all this.
I don’t think people understand how many state employees will be laid off due to these cuts. We always laid of 67 last week due to them taking back Covid grants. i am 57 and watching my career disappear along airh my 401k.
I completely understand. I have 18 years of state service and am partially funded by CDC prevention funds. I’m too young to retire, yet there won’t be funding for our work anywhere across state government. Our state doesn’t prioritize public health funding so there won’t be state or local money to fill the gaps. It also hurts my heart thinking about plans, projects and funds we’ve committed to local communities could all just be eliminated. This plan will have huge impacts for millions of people. It’s scary and heart breaking all at once.
I’m in the same boat. I have 23 years of state service and need 28 to retire. I’m 57 and feel like it will be next to impossible to get a job at my age. I am not a nurse so it will be even harder. I manage a public health clinic and many of the programs we offer are dependent on Title X which seems to be completely eliminated and other things like newborn screenings and childhood lead checks which also seem like they are being eliminated. I am wondering where the Vaccines for Children program is on this budget. I don’t see it but won’t be surprised if they pull funding for that. Our state is pretty rural so a lot of hospitals will close. The sad thing is most of the front line people I work with voted for Trump and don’t even realize they are about to lose their jobs.
So much of this is the stuff that props up the entire health system. Shit will be shut down.
Also, RWCA funded health care gone? Sickle cell services gone, EMS for children gone. Newborn screening gone. It's like we are leaping off a cliff because of this idiot
I will write about it in a bit I'm too disgusted right now
Having worked in AHECs, FQHCs, basically every HRSA program - yeah, it's bad.
Thank you for your service all these years. I am sorry you are being paid back this way.
I’ve been continuously funded by NCCIH since 2003—possibly one of their longest-funded investigators, going back to my graduate school days when the center was still known as NCCAM. I’ve used that support wisely: my research has resulted in eight issued patents, over 100 scientific publications, and meaningful contributions to the field.
But now, as outlined on page 35 of this plan, the new administration intends to eliminate NCCIH. This would effectively erase not only my relevance as a scientist, but also my ability to continue this work at all.
How did we get to this point? And what does this mean for the millions of Americans who use herbal supplements every day—who depend on science to inform them about the safety and efficacy of natural products?
They ran project 2025 thru chat gpt and asked for a banana republic hhs budget.
This is entirely in-line with that manifesto of the 1930s.
"Civilian pay freeze/3.8% increase for military" p2025
"US Sovereign Wealth Fund" p2025
These cuts will push our nation's health and safety backwards dangerously.
If I'm reading this correctly, they seem to be cutting a lot of disability programs. Shameful! They seem to be doing this across all agencies.
"Ordinary" (non-medical, health administration type) human here. I'm not familiar with all these programs, offices, etc. so I don't really understand what they all affect or how they have been arranged/assigned- but I understand that it's fundamentally altering the entire approach to health, and it doesn't look good. (understatement, obviously)
With all the evisceration that has already occurred, it is extremely unlikely that "Humpty Dumpty" can ever be put back together again (as we all know, poor humpty). So it's very likely anything done to restore any of the cuts in the future will have to be completely recreated from scratch.
If this is the new reality, do any of these structural realignments actually hold the potential to be a solid base to rebuild a more comprehensive system if the opportunity presents itself in the future? Do any of these rearrangements actually make sense from an efficiency/effectiveness alignment perspective? Or is it all a big jumble?
this is stunning in its scope. It will take years to restore what we had if this is enacted.
Eugenics in full swing 🤬
This is a disaster. If this passes as written, many people will die.
For Musk and Trump that may be a feature and not a bug. I believe they are that evil.
Thanks so much for sharing. Enraging. I need to calm down before commenting.
I am a public health nurse. I had to stop reading because I could no longer see through my tears. The idiocy, the cruelty, the destruction. This is going to be massive. They already started “restructuring “ where I work. The catastrophic health consequences will also come with devastating economic impact.
There's so much I could talk about but one of the most frustrating is eliminating Head Start – for every $1 invested, America reaps a ROI between $7-$9.1. But this is all in the name of government efficiency!!
Also, we couldn't have an official document from the President that doesn't include:
- thanking DOGE
- references to "woke NGOs" promoting abortion, "high-risk sexual behavior", and "inflicting gender ideology" on children
- immigrant slander (the only programs immigrants [including permanent residents] are eligible for are Medicaid [depending on the state], school breakfast/lunch programs [soon no child will have those!], and WIC).
- all of this can be found on pg 46!
This is my first time reading a document like this, but where does it mention the removal of the school meal programs?
Sorry, that's not what I meant to imply – on pg. 46 (pg. 48 of the PDF) under the heading "Preserve Public Benefits for American Citizens" it states, "the Budget ends the dependence of immigrants on hard-earned taxpayer resources by making all non-citizens, including lawful permanent residents, ineligible for public benefit programs." It's outside the scope of this document but USDA has announced a $12B funding cut for school meals, including the free/reduced lunch programs that all children were eligible for.
Thank you for clarifying! I just wanted to make sure I hadn't overlooked something, but I will dig deeper into that now.
Where do the state and local public health agencies look to for funding, surveillance data, and technical assistance in this scheme? How in the world can such an organizational proposal meet the acute and long term needs of protecting, promoting, and safeguarding the public’s health?!
Where are the mandatory EEO and FOIA offices? These offices have been shut down and no one at HHS is available to discuss or process reasonable accommodations, mediations, and complaints. This is opening the door to extensive lawsuits and lawlessness within each Operating Division. CALL YOUR CONGRESSIONAL REP AND SENATORS ASAP. Call your Governor too as many of these offices are HQ’d in Maryland, Georgia, and elsewhere.