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Trump Health Cuts creates a “real danger” with regard to outbursts of illness, warn workers | Trump Administration

Mass authorizations and billions of dollars cuts in the Department of Health and Human Services (HHS) have important programs – from children's support services to HIV treatment abroad – and created a “real danger” that, according to former employees, disease outbreaks will be overlooked.

The HHS workers, now led by Robert F. Kennedy Jr., warned in interviews that chaotic, incorrect and comprehensive reductions would have broad, negative effects in the USA and beyond.

While Donald Trump's administration of 82,000 to 62,000 to 62,000 reduced so-called “Department of Government Efficiency” (Doge) through fire and buy-outs cuts by Elon Musk, the state governments also had a strong impact and led to fires in state public health authorities.

For example, more than 70 employees were released in March in March due to financing cuts in the South Carolina Department of Public Health.

“The monitoring of diseases is as we know when something unusual with people happens with people, e.g.” It is the system with which we recognize patterns, find outbreaks and react early before more people get sick. “

“If you lose the staff of public health, you lose time, lose accuracy, lose responsiveness and ultimately impair people's health,” added. “Without us, outbreaks can fly under the radar, and the answer can be delayed or disorganized. This is the real danger if these roles are cut.

A dismissed employee of the Ministry of Health and Human Services will bring his things back to Washington DC on April 1, 2025. Photo: Kevin Dietsch/Getty Images

“It is an invisible work until it is not. You may not think about it every day, but it protects your drinking water, your food, the schools of your children and your community.”

A spokesman for South Carolina's Ministry of Health refused to comment on details, but found that the employees hired by grants are temporary. “If grants are no longer available, their employment can end, as with some temporary grants, which were financed by these grants,” they said.

In Washington, Doge's HHS became harder than any other federal department. Hundreds of grants to state, local and tribal governments as well as research institutions have been removed in unpaid obligations worth over $ 6.8 billion.

The HHS receives about a quarter of all federal expenditure, with the majority paid out to the states of health programs and services such as Medicare and Medicaid, the insurance programs. Medical research; and food and drug security. Trump's budget proposal stipulates that the department's discretion is reduced by 26.2%or $ 33.3 billion.

RFK JR, who in the past promotes conspiracy theories and medical misinformation, was nominated by Trump and approved by the Senate to party borders, with Mitch McConnell, the only Republican dissent.

After a reduction in the power of 10,000 employees on April 1, Kennedy Jr.

An HHS spokesman accused such errors in data acquisition and did not comment on any other aspects of reporting the guardian.

AIDS aid program “dismantled”

In the centers for the control and prevention of diseases and in an operational department of the HHS, employees who worked on the health of the President for AIDS relief (Pepper) for mothers and child health were shocked to be involved in the strength of strength, since their work in the administration had received a waiver of parts of the program from the FREEZES of the Federal Fund.

All federal experts for HIV prevention in overseas children were released as part of the reduction in reduction in violence.

“Our concern was initially that it was a mistake with the name. At that time we hoped that there were 20% mistakes that we would be included,” said an epidemiologist who was included in the reduction in strength but asked to remain anonymous because they are currently on vacation. They also found that they were in the planning and provision of a new pediatric HIV treatment medication that is to be distributed this year and that this work was now at risk.

The offices of Uganda Young Positive (UYP) on February 12, 2025 in Kampala, Uganda. Photo: Hajarah Nalwadda/Getty Images

They said 22 epidemiologists in the branch of their CDC division were released. Pepper was founded in 2003 by George W Bush to prevent the HIV transmission from mother to child, and the rescue of 26 million lives.

“We were very shocked on April 1 that we were immediately put on administrator vacation,” said another epidemiologist, who was affected by the reduction in strength at the CDC. “We believe that our branch was a mistake. The Foreign Ministry had said that the services were a priority and had to be continued, but then we were cut by HHS.”

They found that the HIV treatment had already stopped in regions of countries that were dependent on USAID programs such as Sambia.

“It is one of the most successful global health programs in history that have been affected with high accountability and the dollar. Our concern is now, yes, they continue Pfepfar in their name, but they disassemble all the systems and structure that made it possible to be successful,” they added. “The United States made an enormous investment in this program in 20 years, and a large part of it has now reversed. We have now disrupted the systems that the US investments could have reduced and finally eliminated.”

“Long-term effects” on US families

In the HHS, the administration for children and families is responsible for enforcing child support payments. For every dollar it receives for federal financing, ACF can be able to collect 5 US dollars for child benefit.

A specialist in children's support at HHS, who wanted to remain anonymous due to fear of retaliation measures, said that the department's diseases had increased the workload for those who have not been released and so state and tribal authorities have no way to ensure that they meet the federal requirements.

“The regional staff with direct supervision of the program has disappeared,” they said. “There are entire regions in which two employees manage a quarter of the work for the program without management, without support, without knowing the program.”

After the Trump administration took office, the agency was under an unofficial stop work order, in which the employees were only allowed to provide instructions or support for scholarship holders or even answer phones by the end of February, the specialist said. On April 1, a violence was followed when the specialist for child support was released about half of the ACF employees who worked on the support of children.

Your department is responsible for monitoring programs for child support at the state, tribal and local level. States “could lose millions of dollars of funds very well” if ACF does not provide key training and support and the states have no qualified staff, the specialist warned. “And these are the long -term effects for children and families in need of protection in the country.”

They added: “The entire function of the program is to give children and families economic stability so that they do not depend on another government program or their trust in these programs is lower because the children are supported by both parents.”

“A living hell”

In the centers for Medicare and Medicaid services, also within the HHS, one of 300 employees was rejected as part of a reduction in violence that this was illegal and had not followed any proper interventions. The National Treasury Employees Union has submitted a complaint about how the surf, including incorrect information on reports.

They explained that on April 1, they received a generic letter in which they were informed about an intention to reduce the strength. Hours later, they were excluded from their government applications. “We started sending administrative management by e -mail to clarify what our status was. Nobody could give us an answer,” said the worker.

On April 7th, they found through their paystub that they had been put on the administrative vacation, even though they never received a message. They only received a rifite notification weeks laterPresent according to request.

“Based on my tenure and as a disabled veteran, I should at least have the chance of re -assignment,” they said. “I'm not angry with losing my job. It happened. I was released. The first time was in the private sector, and it was much more humane, more sensitive, and I got different offers.

“On the other hand, this is an unbridled hatred. This administration has tried to make it a living hell for all their public staff.”

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