It’s hard to know whether to laugh or cry while you’re watching the Keystone Kops dismantle the federal government.
A recent article charting the decimation of HHS under RFK, Jr.–aka Mr. Brain Worm– contained the following tidbits: employees who were laid off and who wanted to pursue discrimination complaints were told to contact Anita Pinder, former director of the Office of Equal Opportunity and Civil Rights. Pinder died last year. Then there was the report that a number of FDA staff members only discovered they were part of the sweeping reduction in force when they arrived for work one morning and their badges would no longer let them into the building.
Kennedy’s haphazard and unprecedented downsizing of the federal health workforce–the dismissal of twenty thousand workers–was evidently conducted with similar inattention to careful analysis, let alone standard procedures or pesky details. The dismissals removed what the article called “a broad swath of expertise: biomedical scientists, staff who respond to freedom of information requests and researchers who work to improve patient safety.”
Those dismissed from HHS included numerous senior leaders–individuals who represented often irreplaceable institutional memory.
At the National Institutes of Health, a nearly $48 billion biomedical research agency, at least five top leaders were put on leave. Among those offered reassignment were the infectious-disease institute director Jeanne Marrazzo, according to emails obtained by The Post and multiple people familiar with the matter, who spoke on the condition of anonymity because they were not authorized to speak publicly.
Marrazzo had succeeded Anthony S. Fauci as director of the National Institute of Allergy and Infectious Diseases, which helped lead the nation’s response to the coronavirus pandemic and later became a target of Republicans. An internal email showed that two other leaders there, H. Clifford Lane and Emily Erbelding, also lost their jobs, and the agency had no advance notice of who had been targeted for layoffs through the reduction in force, or RIF
The story was the same throughout the reckless purge of HHS. At the CDC, for example, senior leaders overseeing global health, infectious diseases, chronic disease, HIV, sexually transmitted disease, tuberculosis, outbreak forecasting and information technology were all among those notified that they would be reassigned to the Indian Health Service (a reassignment most refused). The article quoted one official for the probable effect: “The agency will not be able to function. Let’s be honest.”
The purge included some 3500 scientists working on bird flu and vaccine safety, as well as the safety of the U.S. food supply and tobacco products.
“The FDA as we’ve known it is finished, with most of the leaders with institutional knowledge and a deep understanding of product development and safety no longer employed,” Robert Califf, who served as FDA commissioner under Presidents Joe Biden and Barack Obama, wrote on LinkedIn on Tuesday morning.
Forbes was among the publications warning that the cuts could have profound effects on the health and well-being of Americans. A capacity to respond to emerging new diseases that has arguably already been inadequate will be even more vastly curtailed; food and drug safety are being imperiled; and research on diseases like cancer, Alzheimers and Parkinsons (among many others) will be dramatically set back. Other cuts significantly reduced the number of caseworkers who assist Affordable Care Act consumers and Medicare beneficiaries.
The list goes on.
And what about the “savings” being touted? Will the vast majority of Americans whose health and safety are being compromised by these ill-considered dismissals at least see a financial benefit? Hardly. The Trump administration is “saving” this money in order to fund further tax reductions for the wealthy–trading the health and well-being of the many for fatter pockets for the few.
America has long been the only Western democratic country without a program of national health care. Now we face the prospect of greatly diminished public health and safety protections, in order to exempt our plutocrats from paying their fair share of taxes.
Makes me want to ask those folks with the red hats: are we great yet?
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