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Everything you need to know about the HHS job cuts

February 18, 2025
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Morning Rounds Writer and Podcast Producer

Good morning, we've got a lot to go over. As one editor put it on Friday: "'When it rains it pours' doesn't seem to adequately capture the deluge of news."

But before we get to the frenzy, some good news: Four STAT reporters have won the George W. Polk Award for health care reporting. In the excellent "Health Care's Colossus" series, reporters Bob Herman, Tara Bannow, Casey Ross, and Lizzy Lawrence highlight how UnitedHealth Group wields its unrivaled physician empire to boost its profits and expand its influence.

It's the third time in five years that STAT reporters have won this prestigious award. We are so, so proud.

politics

Massive staff cuts hit federal health agencies

Mandel NGAN / AFP via Getty Images

Senior federal health officials were informed on Friday that roughly 5,200 probationary workers (those hired in the last year or two) across HHS would be fired that afternoon. As of yesterday, it was unclear exactly how many people have been let go. 

While some people initially expecting termination notices may have been spared, the cuts were widespread. Some of the people fired had been working to improve Medicare and Medicaid. Others staffed a program to improve maternal health outcomes. STAT reporters spoke to one person that was let go who worked at a major international airport preventing animals with dangerous diseases from entering the country.

Emails came with "read receipts" that automatically locked people out of their computers a certain amount of time after it was opened, two former HHS employees said. "It wasn't a layoff," one terminated employee from the FDA said. "I call it 'getting DOGE-d.'"

The move to purge these employees is in line with the aggressive workforce cuts taking place across government. But experts have warned that mass layoffs or resignations could severely disrupt work at the agencies. "We're going to lose the next generation, that is the most difficult loss," former NIH director Monica Bertagnolli said in an interview Saturday. 

The Trump administration has bludgeoned the U.S government's health care infrastructure "with one shuddering impact after another," STAT's Matt Herper wrote in an opinion piece. "The resulting fear among employees could reshape the government as much as the actions themselves."

Read the latest on the cuts from a great team of STAT reporters, led by Helen Branswell. 


data

CDC took data down. STAT backed it up

The CDC has removed at least 135 datasets and other files from its public data platform since President Trump took office last month, according to a STAT analysis. 

Because Trump harshly criticized public health officials during his campaign, STAT's J. Emory Parker anticipated there might be changes to federal health websites. As rumors began swirling near the end of January that federal websites would be taken down entirely if they had not yet fully complied with Trump's executive orders, he downloaded and archived all available files from data.cdc.gov.

Read more to explore this feat of data preservation and to download original copies of data that've been removed or altered. Emory will have more updates to the page soon.


lgbtq+ health

Two federal judges have blocked the gender-affirming care EO

On Friday, a federal judge in Washington paused the executive order that barred federal support for hospitals that provide gender-affirming care to trans people under age 19. The decision came one day after another judge in Maryland temporarily blocked the order in response to a different lawsuit. (Attorneys general from Washington and other states sued last week, in addition to a suit filed on behalf of families with trans and nonbinary children.) 

It's still unclear if hospitals that had suspended gender-affirming care for young people after the order will start back up after the decisions. (If someone in your family has been affected by these restrictions on care, please reach out to me — I'm more than happy to speak confidentially.)



science

The lasting impacts of the Trump funding freeze

It can be hard to comprehend the news when it's coming at you this fast. But news always has consequences. In the latest from STAT's Eric Boodman, we meet Nancy Hastings, an 86-year-old from West Virginia. For Hastings, "the face of the federal government is the young man who picks her up every Monday, Wednesday, and Friday at 5:45 a.m. to drive her to dialysis," Eric writes. In late January, after the funding freeze, that young man was laid off when the nonprofit he works for didn't have the money to keep paying everyone.

The freeze was framed by Trump as targeting "big bureaucracy" and its "fraud and waste and abuse." But the truth is more complicated than that. Part of what government staffers do is distribute federal dollars, often to programs that people depend on across the country. Read more from Eric about how patients and caregivers far from D.C. have been affected by the administration's big moves.  


first opinion

Her sister died at the NIH, but she's still grateful to them

Ariel Reinish grew up on the NIH campus, in a way. Her sister Shelby was 10 when she was diagnosed with von Hippel-Lindau disease — a rare genetic disorder caused by a mutation in the VHL gene that can lead to tumors in the brain, eyes, spine, and more.

Ariel would often go with Shelby and their mom to the clinical center at the NIH. "The waiting rooms always had an unexpected sense of home," Reinish writes in a new First Opinion essay. But after her second brain surgery, Shelby had a stroke and died. 

"The worst thing in my life happened at the NIH," Reinish writes of her sister's death 10 years ago. "Despite that, the NIH gave my family hope and continues to do so." Read more in this beautiful essay about how the political discourse around science and research is failing to capture one sister's lived experience.


research

Could SSRIs protect against infections? A mouse study has hints

Recent research has indicated that people who had Covid-19 while on selective serotonin reuptake inhibitors (antidepressants like Prozac) had less severe infections and were less likely to develop long Covid. To understand how interactions between SSRIs and other infectious diseases might work, researchers in a new study observed mice with bacterial infections, half while on fluoxetine (Prozac) and half not. 

Eight hours after infection, the Prozac group had fewer bacteria inside them, indicating that the drug has antimicrobial properties, the authors write in Science Advances. There was also more of a specific anti-inflammatory protein in that group, which helped to prevent sepsis. The results were in mice, of course, and many more studies are needed. But it's an interesting potential avenue of research for a drug that many Americans already take.

And for more context: The study published one day after one of President Trump's latest executive orders establishing a "Make America Healthy Again Commission," which, among many other directives, will "assess the prevalence of and threat posed by the prescription of selective serotonin reuptake inhibitors, antipsychotics, mood stabilizers, stimulants, and weight-loss drugs."


More around STAT
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What we're reading

  • Republican states claim zero abortions. A red-state doctor calls that 'ludicrous,' KFF Health News

  • At premier science gathering, 'anger, uncertainty, and anxiety' about the future of research under Trump, STAT
  • South Africa has more people living with HIV than any other country. Trump's aid freeze has hit hard, AP
  • The travel industry offers hospitals a warning about MyChart, STAT

Thanks for reading! More tomorrow,


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