The administration has upended the operation of almost every agency that deals with our health and medical care, leaving behind fewer staff members and programs to address critical needs, and changing policies in ways that could endanger us all. Regulations to protect health and safety are being lifted. Experts who monitor health threats have been fired. Medical schools are threatened. Congress is poised to make huge cuts to Medicaid, which would leave millions of Americans without health care coverage and force closures of health clinics, many in rural areas.
Don’t get me wrong, I am not defending the status quo. There is plenty of waste and inefficiency to fix in health care and research, and fresh approaches can help. But dismembering health agencies won’t improve efficiency. Real change comes from streamlining programs to better serve the public, not from closing programs and walking away.
The ripple effects of the havoc at health agencies will eventually reach you. The air you breathe could become more polluted because the administration is permitting factories to resume emitting toxins. Your drinking water could contain lead because the administration is closing lead abatement programs. Bacterial contamination of your food may increase since food safety workers have been fired. There may be fewer primary care doctors in your community because the administration is cutting funding for training programs. Cutting-edge treatments may be unavailable because the N.I.H. has terminated clinical trials.
The logic is baffling. Even though the United States faces a mental health crisis, especially among youth, the Trump administration is slashing funding for programs on mental illness, addiction, domestic violence and suicide prevention. It’s no longer offering specialized support to L.G.B.T.Q. callers to the national suicide prevention hotline, and it’s cutting nearly 600 contracts for the Department of Veterans Affairs. It canceled funding for a desperately needed program that expanded the number of mental health professionals in our children’s schools, which had won bipartisan support in Congress after the mass shooting in Uvalde, Texas. Unintentional injuries are the leading cause of death in children, but the administration has all but eliminated the injury prevention center working on efforts to prevent deaths from poisoning, car accidents and drownings.
Diseases that are preventable and rare in modern countries may now pose a threat in the United States. The measles outbreak is our first warning. Other vaccine-preventable diseases will increase if politicians like Mr. Kennedy continue to cast experts aside, roll back immunization guidelines and sow doubt about their safety.
All this under the banner of “Make America Healthy Again.” In a dangerous sleight of hand, Mr. Kennedy goes before cameras to make a big deal about food dyes and bizarre claims about autism while his department erases programs to address the nation’s leading chronic diseases. For example, smoking is the leading cause of preventable deaths in the United States. If this administration’s goal is truly to make America healthier, why has it effectively shuttered the nation’s top office on smoking? Mr. Kennedy rightly promotes the importance of healthy eating, but the administration is cutting funding for food assistance. He warns about the dangers of pesticides, but the administration is reportedly reconsidering a ban on asbestos and is moving quickly to relax other regulations meant to protect Americans from toxins.
Planned cuts by the Trump administration would defund research on the leading causes of death
Heart disease | 681,000 | National Institute on Body Systems* | -39% |
Chronic lower respiratory diseases | 145,000 | ||
Diabetes | 95,000 | ||
Cancer | 613,000 | National Cancer Institute | -37% |
Stroke | 163,000 | National Institute on Neuroscience and Brain Research* | -40% |
Alzheimer’s | 114,000 | National Institute on Aging | -40% |
Drug overdoses | 97,000 | National Institute of Behavioral Health* | -38% |
Suicide | 49,000 | ||
Covid, flu and pneumonia | 95,000 | National Institute of Allergy and Infectious Diseases | -36% |