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If you're a regular here, you know all about the far-reaching effects of the U.S. DOGE Service's cuts at the Department of Health and Human Services. DOGE's work has had massive consequences, and it's critical to understand the people at the center of that work.
At HHS, that was Brad Smith, a health care startup founder from Nashville. Unlike Elon Musk, Smith stays out of the spotlight. When I started calling around to his former colleagues, a theme quickly emerged. People described him as relentless. From day one of starting a company, he's got his eye on the exit, and hitting ambitious growth targets came first. Employee and patient wellbeing were not a priority, they told me. All of that made Smith the ideal person for an operation like DOGE.
I hope you'll take some time to read my portrait of the little-known man at the center of the HHS cuts.
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