Trump and DOGE Put Lives and Public Health At Risk

Yesterday a friend sent me a text asking me for information on the cuts to cancer research implemented by the Felon and his henchman, Elon Musk.   He was in a debate with MAGA cultists who seemingly only watch Fox News, a/k/a Faux News, who denied that such cuts had been made.  I sent him links to news reports on funding cuts and perhaps he convinced the Kool-Aid drinkers that yes indeed cancer research funding was cut.  However, the threats to countless lives and America's public health embodied by the Felon and DOGE's efforts to cut funding to governmental agencies - all to fund additional huge tax breaks for the super wealthy - extend far beyond cancer research. Not only do we now have a vaccine denier in charge of Health and Human Services, but funding that helps keep contagions on foreign shores from reaching America's shores has be slashed or eliminated entirely. Frighteningly, the Felon and Musk simply do not care that their actions are putting millions of Americans at risk.  I suspect that the Felon believes that only what he has called "shit hole countries" - translate to black, African nations - benefit from the programs being shuttered, yet nothing is further from the truth.  A piece in The Atlantic looks at the damage being done and the danger it poses to American lives and health. Here are excerpts:

At Donald Trump’s first Cabinet meeting, late last month, Elon Musk sheepishly admitted that DOGE had “accidentally canceled very briefly” Ebola-prevention programs. After a nervous chuckle, he claimed that the oversight had been swiftly corrected. But it wasn’t. The truth is far more disturbing—this administration didn’t just pause a line item; it has actively dismantled the infrastructure the country relies on to detect and confront deadly pathogens.

For more than a decade, I have worked as a physician and public-health expert responding to infectious diseases around the world. In 2014, while treating Ebola patients in Guinea, I contracted and survived Ebola myself. I know how lethal Donald Trump’s assault on America’s outbreak preparedness could be. We are sure to regret it.

DOGE’s slash-and-burn campaign has hit everything from the NIH to the National Weather Service. The cuts to global health, however, are especially alarming. It’s unclear what Musk thought would happen when he fed the U.S. Agency for International Development “into the wood chipper,” as he proclaimed with gleeful indifference on X . . . . Ditto what Trump thought when he withdrew the United States from the World Health Organization and effectively muzzled the CDC. But the result has been that, in little more than a month, America has transformed itself from a preeminent global-health leader into an untrustworthy has-been. Undermining even one of these institutions would have posed a serious threat; gutting them all at once is an invitation for future outbreaks.

The fallout from these sweeping cuts is particularly evident when examining USAID, or what’s left of it. The agency’s tagline was “From the American people,” and perhaps the American people didn’t understand that it was also for them. Musk disparaged the agency outright—declaring it a “criminal organization.” The White House pointed to alleged wasteful spending, . . . . In decrying the agency’s downfall, many Democrats focused more on the importance of “soft power” foreign policy than on-the-ground impact. Yet much of USAID’s budget was devoted to addressing humanitarian and health crises abroad with the implicit goal of preventing these emergencies from reaching our own shores. (Explicitly, the goal was to “advance American security and prosperity.”) Americans are safer when instability and infectious threats are effectively managed on foreign lands.

USAID was also the primary funder of the President’s Emergency Plan for AIDS Relief, established in 2003 under George W. Bush. PEPFAR has saved more than 25 million lives and helped smother the global HIV pandemic. More than 20 million people—500,000 of them children—were receiving HIV treatment through the program when Trump signed an executive order on his first day back in office pausing all foreign aid for 90 days. Secretary of State Marco Rubio promised that waivers would allow the life-saving work to continue, but few have materialized. . . . Without the support long provided by the program, thousands of people will likely die far younger than they would have with proper medical care. PEPFAR’s current authorization ends later this month; its future after that is unclear.

Similarly, USAID’s efforts to stop Ebola at its source are also now gone. USAID’s role in Ebola containment has long been essential. . . . . just days into Trump’s second term, Uganda reported another Ebola outbreak. This time, though, the foreign-aid freeze Trump had put in place meant that USAID was unable to supply the usual resources for transporting lab specimens or implementing airport screening. The day after Musk reassured the Cabinet that Ebola prevention had been swiftly restored, the State Department canceled crucial contact tracing and surveillance efforts for Uganda’s outbreak.

Moreover, the WHO may not have the capacity to do so for much longer. On his first day in office, Trump signed an executive order moving to withdraw from the WHO, accusing it of demanding “onerous payments from the United States.” In 2023, the U.S. contributed $481 million—an eighth of what Americans spend on professional dog-training services every year—to WHO’s operating budget. . . . . it is an organization we desperately need, and no real alternative exists. . . . .Its global network of laboratories to detect infectious threats—known as the Gremlin—relies heavily on U.S. support and is now at risk of closure. And even as its partnerships alongside U.S. colleagues have strengthened surveillance, containment, and readiness abroad, the WHO also helps us here at home. On the same day as Musk’s Ebola comments, the FDA canceled the meeting where experts decide next season’s flu-vaccine composition.

With USAID and WHO under siege, more responsibility for global disease detection and response would fall on the CDC. But the future of the world’s preeminent “disease detectives” is at risk as well. . . . . Whether the issue is cuts to USAID, defunding the WHO, or hobbling the CDC, the end result is the same: America is walking away from global health leadership, making the entire world less safe—including us.

Understand how this will work at a practical level: Until recently, countries had compelling reasons to report outbreaks, even if such transparency sometimes came with travel bans or other stigmatizing restrictions. Those sticks were often worth the carrots, namely USAID funding and CDC expertise that would appear and help quickly end outbreaks. Now, with no carrots on offer, why would any country submit to the stick? Future outbreaks may be reported too late or not at all—leaving America oblivious to emerging health crises. . . . . The number of Ebola outbreaks is escalating, and climate change will intensify the emergence and spread of known and potentially unknown microbes.

It is in America’s interest to reverse course immediately and rebuild the crucial infrastructure needed to detect and respond to outbreaks.

Americans believe that about 25 percent of the country’s budget is spent on foreign aid. In reality, the figure is 1 percent, or at least it was. USAID’s entire 2023 spending was $43 billion—a 20th of the U.S. defense budget and about what Musk’s enterprises have received in government funding. The CDC’s was even less, just $9 billion.

[W]ith startling speed, the country is turning its back on global health. In doing so, it is endangering other nations, and also itself. USAID’s account on X, once a digital chronicle of its achievements, is gone. When I search for it on my phone, I get an error message: “Something went wrong. Try again.” We must heed that warning. Musk and Trump have destroyed the shield that once protected America from the next global contagion. Deadly diseases don’t bother with borders; no wall will keep them out. If America stays the course, “Something went wrong” will become the epitaph of a great country, one that once led the world in global health preparedness. It will be deeply missed.