CDC Firings Fray Lifelines to Local Health Departments
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The State of Federal Health Agencies Is Uncertain
Episode 387The Supreme Court opined for the first time that Trump administration officials may be exceeding their authority to reshape the federal government by refusing to honor completed contracts, even as lower-court judges started blocking efforts to fire workers, freeze funding, and cancel ongoing contracts. Meanwhile, public health officials are alarmed at the Department of Health and Human Services’ public handling of Texas’ widening measles outbreak, particularly the secretary’s less-than-full endorsement of vaccines. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University School of Public Health and Politico Magazine, and Stephanie Armour of KFF Health News join KFF Health News’ Julie Rovner to discuss these stories and more.
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CDC Firings Undermine Public Health Work Far Beyond Washington
The Trump administration’s sudden firings have gutted training programs across the nation that bolstered state and local public health departments.
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Trump Froze Out Project 2025 in His Campaign. Now Its Blueprint Is His Health Care Playbook.
During his presidential campaign, Donald Trump distanced himself from the conservative governing plan after Democratic attacks. But now it’s increasingly viewed as a blueprint for his administration’s plans for federal health programs.
Medicaid in the Crosshairs, Maybe
Episode 385President Donald Trump has said he won’t support major cuts to the Medicaid health insurance program for people with low incomes, but he has endorsed a House budget plan that calls for major cuts, leaving the program’s future in doubt. Meanwhile, thousands of workers at the Department of Health and Human Services were fired over the holiday weekend, from the National Institutes of Health, the FDA, and the Centers for Disease Control and Prevention, with possibly more cuts to come.
Alice Miranda Ollstein of Politico, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more.
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Urgent CDC Data and Analyses on Influenza and Bird Flu Go Missing as Outbreaks Escalate
Delays in urgent CDC analyses of seasonal flu and bird flu, and the agency’s silence, will harm Americans as outbreaks escalate, doctors and public health experts warn.
By Amy Maxmen -
House Cats With Bird Flu Could Pose a Risk to Public Health
The current strain of bird flu is spreading from wildlife and livestock to house cats. To keep pets healthy, many virologists and veterinarians say, house cats shouldn’t eat raw food and should be kept indoors. Despite no known cases of H5N1 transmission between cats and people, some public health agencies and virologists are warning cat owners to be mindful of the theoretical risks to the health of humans in their households if a pet gets sick.
By Sarah Boden -
Trump Administration’s Halt of CDC’s Weekly Scientific Report Stalls Bird Flu Studies
An unprecedented freeze on the agency’s Morbidity and Mortality Weekly Report sparks new concerns about political meddling in science.
By Amy Maxmen Creating Chaos at HHS
Episode 381President Donald Trump was sworn in Monday and by Wednesday had virtually stopped scientific policymaking at the Department of Health and Human Services. While incoming administrations often pause public communications, the acting HHS head ordered an unprecedented shutdown of all outside meetings, travel, and publications. Meanwhile, Trump issued a broad array of mostly nonbinding executive orders, but notably none directly concerning abortion. Rachel Cohrs Zhang of Stat, Alice Miranda Ollstein of Politico, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Rodney Whitlock, a former congressional staffer, who explains the convoluted “budget reconciliation” process Republicans hope to use to enact Trump’s agenda.
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Childhood Vaccination Rates, a Rare Health Bright Spot in Struggling States, Are Slipping
Mississippi, Tennessee, and West Virginia — states with some of the worst health outcomes — also have some of the highest childhood vaccination rates. But doctors and health officials worry a rising tide of vaccine skepticism is causing those public health bright spots to dim.
By Daniel Chang and Sam Whitehead -
Beyond Hard Hats: Mental Struggles Become the Deadliest Construction Industry Danger
The physical hazards of construction work have long been a focus of safety professionals. Yet attention on the psychosocial hazards is relatively new, with suicide and substance use soaring among male construction workers. Mitigating those risks requires more than hard hats, safety vests, and protective goggles.
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Syringe Exchange Fears Hobble Fight Against West Virginia HIV Outbreak
Health workers and researchers say an HIV outbreak in West Virginia that three years ago was called “the most concerning” in the U.S. continues to spread after state and local officials restricted syringe service programs.
By Taylor Sisk -
How America Lost Control of the Bird Flu, Setting the Stage for Another Pandemic
Exclusive reporting reveals how the United States lost track of a virus that could cause the next pandemic. Problems like the sluggish pace of federal action, deference to industry, and neglect for the safety of low-wage workers put the country at risk of another health emergency.
By Amy Maxmen -
Trump’s Picks for Top Health Jobs Not Just Team of Rivals but ‘Team of Opponents’
The president-elect’s choices to lead the Department of Health and Human Services, as well as agencies such as the National Institutes of Health, FDA, and CDC, hold positions on issues including abortion and vaccination that are often at odds.
By Stephanie Armour and Julie Rovner A Colorful Cast Could Lead Key Health Agencies
Episode 375President-elect Donald Trump has made his choices to fill some top jobs at the Department of Health and Human Services. They include controversial figures who were vocal critics of the Biden administration’s handling of the covid pandemic and have proposed sweeping changes to the agencies they would lead. Meanwhile, the Supreme Court heard its first two health-related cases of the term, challenging a Tennessee law barring transgender medical care for minors and, separately, challenging the FDA’s handling of e-cigarettes. Joanne Kenen of the Johns Hopkins University and Politico, Shefali Luthra of The 19th, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Bram Sable-Smith, who reported and wrote the latest KFF Health News-Washington Post Well+Being “Bill of the Month” feature, about an emergency room bill for a visit that didn’t get past the waiting room.
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Does Fluoride Cause Cancer, IQ Loss, and More? Fact-Checking Robert F. Kennedy Jr.’s Claims
Research has generally shown that drinking fluoridated water at the recommended levels is safe and beneficial for oral health, especially in children. But many people feel that more research is needed to better understand whether and when health risks kick in.
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Scientists Fear What’s Next for Public Health if RFK Jr. Is Allowed To ‘Go Wild’
As federal health scientists await a potential takeover by RFK Jr. and other medical skeptics in the second Trump administration, some are preparing résumés or retirement papers.
By Arthur Allen -
What’s at Stake: A Pivotal Election for Six Big Health Issues
Health care has ebbed and surged as an election issue throughout the presidential campaign. Here are the ways some of the most consequential changes in health policies could hinge on whether Vice President Kamala Harris or former President Donald Trump wins.
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Black Americans Still Suffer Worse Health. Here’s Why There’s So Little Progress.
The United States has made almost no progress in closing racial health disparities despite promises, research shows. The government, some critics argue, is often the underlying culprit.
By Fred Clasen-Kelly and Renuka Rayasam