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      Massachusetts governor calls Trump’s attacks on Harvard ‘bad for science’

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      Massachusetts governor Maura Healey said on Sunday that Donald Trump’s attacks on Harvard University and other schools are having detrimental ripple effects, with the shutdown of research labs and cuts to hospitals linked to colleges.During an interview on CBS’s Face the Nation, the Democratic governor said that the effects on Harvard are damaging “American competitiveness”, since a number of researchers are leaving the US for opportunities in other countries. After decades of investment in science and innovation, she said: “intellectual assets are being given away.”In the past week, the US president cut off billions of dollars to Harvard in federal funds, after the university refused to concede to a number of the administration’s demands. Trump also called for its tax-exempt status to be revoked, a potentially illegal move, against the world-famous college in Cambridge, Massachusetts.Of the moves against colleges, Healey said: “It’s bad for patients, it’s bad for science, and it’s really bad for American competitiveness. There’s no way a state can make up for the cuts from federal funding.”She added: “I was in a hospital recently, Boston Children’s, where some of the sickest kids in the country receive care. Cuts to Boston Children’s and other hospitals are a direct result of Donald Trump’s actions, as these are part of a teaching hospital system.“These cuts to universities have significant ripple effects, resulting in layoffs of scientists and doctors, and clinical trials for cancer treatments have been shut down.“As governor, I want Massachusetts and America to soar. What Donald Trump is doing is essentially inviting other countries, like China, to take our scientists and researchers. This is terrible, especially considering what he has done to the economy. I am working hard every day to lower costs in my state, cut taxes, and build more housing, while Donald Trump is making life more expensive and harder for all of us.”Since Trump took office, his administration has deployed an “antisemitism taskforce” to demand various policy changes at different universities around the country.Columbia University, one of the first institutions targeted by the taskforce, quickly caved to the Trump administration’s demands to restore $400m in federal funding. Some of the measures that Columbia conceded to included banning face masks on campus, empowering security officers to arrest people, and placing control of the Middle Eastern department under a new senior vice-provost.Former Columbia University president Lee Bollinger said on Sunday that the Trump administration’s attacks on academic institutions represent a significant attack on first amendment rights.skip past newsletter promotionafter newsletter promotion“This is a kind of weaponization of the government’s power,” Bolinger said on CNN, adding that it “seems like a campaign of intimidation”.“This is a kind of weaponization of the government’s power,” he said.Earlier this month, the federal government sent Harvard two separate letters with specific demands. After the university publicly rejected those demands, the administration quickly froze nearly $2.3bn in federal funding.The conflict between the administration and the elite university took a strange turn on Friday, with the New York Times reporting that an 11 April letter from the administration with additional demands – which escalated the showdown – was “unauthorized”. The university disputed that the letter was “unauthorized,” claiming the federal government has “doubled down” on its offensive. More

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      Outrage as Trump’s coal expansion coupled with health cuts: ‘There won’t be anyone to work in the mines’

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      The Trump administration’s efforts to expand coal mining while simultaneously imposing deep cuts to agencies tasked with ensuring miner health and safety has left some advocates “dumbfounded”.Agencies that protect coal miners from serious occupational hazards, including the condition best known as “black lung”, have been among those affected by major government cuts imposed by the White House and the unofficial “department of government efficiency” (Doge) run by the billionaire Elon Musk.“The [Mine Workers of America] is thrilled they’re looking at the future of coal,” said Erin Bates, a spokesperson for the United Mine Workers of America, about a series of executive orders signed by the president to expand coal mining. “But – if you’re not going to protect the health and safety of the miners, there’s not going to be anyone to work in the mines you are apparently reopening.”Last week, Trump signed a raft of measures he said would expand coal mining in the US in order to feed the energy demands of hungry datacenters that power artificial intelligence software.“All those plants that have been closed are going to be opened if they’re modern enough, or they’ll be ripped down and brand new ones will be built,” Trump told a crowd of lawmakers, workers and executives at the White House while signing the order. “We’re going to put the miners back to work.”The coal industry has shrunk precipitously in recent years, and now represents only about 15% of the power generated for the US electrical grid. Natural gas, wind and solar have proved to have a competitive advantage over coal, contributing to its decline, because plants are cheaper to operate, according to Inside Climate News.Even as coal mining has shrunk, the potential dangers for people who still work in the field remains high. Pneumoconiosis is among the best known occupational hazards faced by coal miners, but is far from the only risk they face – others include roof collapse, hearing loss and lung cancer, to name a few.Trump’s push for coal came less than a week after the health secretary, Robert F Kennedy Jr, imposed a 10,000-person cut to the federal Department of Health and Human Services (HHS). Cuts overseen by Kennedy, alongside those imposed by Musk’s unofficial Doge, represented the elimination of almost a quarter of HHS’s 82,000-person workforce.Nearly 900 of those workers were dismissed from the National Institute for Occupational Health and Safety (NIOSH), including in the agency’s respiratory health division in West Virginia, which specifically oversaw an X-ray screening program for black lung. Doge has also pursued cuts to mine safety by eliminating 34 regional offices of the Mine Safety and Health Administration (MSHA) in 19 states.The deep cuts especially worried those intimately familiar with the suffering caused by pneumoconiosis – such as Greg Wagner, a doctor and former senior adviser at the NIOSH.“My thoughts were, ‘Why NIOSH? Why now?’” said Wagner, whose early work at a community clinic in a small West Virginia coal mining town led him to a career working to prevent the disease at both NIOSH and as assistant secretary of labor for mine safety and health.Wagner also worked with the International Labor Organization and multiple countries in an effort to eliminate pneumoconiosis globally. He is now a professor of environmental health at Harvard’s TH Chan School of Public Health.The cuts “gutted” NIOSH, said Wagner, even as agency experts were “doing what they were asked to do and doing it extraordinarily well … Over-performing with little recognition. And to see that appear to be going up in smoke – I just – obviously my feelings were profound and complex.”The administration also wants to pause a new rule on silica dust – a kind of pneumoconiosis or “black lung” disease that is increasingly striking younger miners in Appalachia, as workers dig for harder-to-reach veins of coal.“To go into the silica rule – we’re almost dumbfounded,” Bates said. “The number of black lung cases that are showing up in the US is astronomical – it is increasing and not only are the numbers increasing, but it’s happening to younger and younger miners. Every single day this rule is delayed is another day our miners are contracting black lung.”Silicosis is a disease caused by inhaling silica dust, a form of pneumoconiosis that can be even more severe than the black lung of a century ago, and which has long been known to harm the health of coal miners.The government has been aware of the dangers of silica dust for decades, recommending dramatic reductions in exposure levels as early as 1974. In 1993, Wagner’s boss at NIOSH, Dr J Donald Millar, described the persistence of silicosis as “an occupational obscenity because there is no scientific excuse for its persistence”.The MSHA finalized a rule in April 2024 reducing silica dust exposure in mines, which was set to go into effect this year. Last week, the National Stone, Sand & Gravel Association filed a suit seeking to pause enforcement of the silica dust rule pending a lawsuit. Days later, federal mine regulators told the court they wanted to pause enforcement of the silica dust rule for coal mining operations by four months, delaying any enforcement actions until August 2025.“The sudden shift in litigation position signaled by MSHA’s ‘enforcement pause’, and by its unilateral proposal to hold this case in abeyance for a period of four months is a clarion call to this nation’s miners that the agency charged with the profound responsibility of protecting their health and safety is losing the stomach for the fight to vindicate its own rule,” attorneys for mine and steel unions wrote, seeking to intervene in the case.Wagner said his concerns about delay of the silica rule extended beyond miners into workers in other industries – including people who work sand blasting or carving engineered stone countertops, all known to be environments where workers can be exposed to potentially harmful levels of silica dust.“I don’t have the right words,” said Wagner about the cuts to NIOSH, which was deeply involved in research that showed how silica dust harmed miners. “I feel like it was just done without thought, done without consideration and the consequences of the loss of the agency i think will be felt for years.“We will need to try to rebuild what NIOSH has been doing.” More

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      American women and children are in crisis. Republicans are about to make it worse | Karen Dolan

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      Women and children are under threat in America.Jocelyn Smith of Roswell, New Mexico, knows this too well. “I’m disabled, taking care of my disabled daughter. I work, and I volunteer to help feed and house my community,” she told me. “Yet I need assistance affording meals for my family. Something is broken.”Smith knows, but did you know, that in the United States, nearly 43% of women – and almost half of all children – are poor or low-income? And that last year, families with children experienced the largest single-year increase in homelessness, with nearly 40% more people in families with children experiencing homelessness?And what if I told you that Donald Trump’s agenda – expressed through his more than 100 harmful executive actions, Elon Musk’s Doge cuts, and his budget making its way through his Republican-majority Congress – will make things even worse for women and children?I bet you’ll be pretty angry. Smith is.“Is Congress working on any of this?” she asks about the struggles of working families. “Unfortunately, no.” As she wrote in a recent op-ed: “they’re doing the opposite right now.In fact, the GOP budget proposal could slash $880bn from Medicaid and $230bn from food assistance. They’re also cutting government agencies that assist with affordable housing, transportation, safety, veterans, and children with disabilities.”The final amounts of those cuts will vary, but the numbers stand to be huge and devastating. Why? Because the GOP is looking for at least $4.5tn in more tax breaks for corporations and the wealthiest Americans. “They are reaching into my very shallow pockets, into my daughter’s life-saving medical care to pay for it,” Smith says.A new paper I co-authored for Repairers of the Breach and the Institute for Policy Studies tries to reckon with what these costs would mean for working Americans. For women and children, we found that some of the harshest blows will come in healthcare access and in help putting food on the table.Nearly one in five women and almost half of all children rely on Medicaid or its Children’s Health Insurance Program for healthcare. The House Republican budget resolution calls for potential cuts of hundreds of billions of dollars from Medicaid – as much as $880bn by 2034, as Smith points out.And a shocking 9 million people, disproportionately women and children, could lose all food assistance under the proposed supplemental nutrition assistance (Snap) cuts. Children could also miss out on food at school, since the Republican House budget proposal also calls for a $12bn cut to public schools’ free and reduced meals programs. This would eliminate 24,000 schools – serving 12 million students – from the program.Beyond food and healthcare, these cuts and proposals would also harm women and children in countless other ways.Nationally, women are already paid 18% less than men, which contributes to their higher likelihood of poverty. But now, nearly 3 million pregnant workers are at risk of losing their jobs amid doubts that Trump will properly enforce the Pregnant Workers Fairness Act, which provides worker protections for pregnant women.That’s especially egregious when you consider that 22 million women and girls of reproductive age live in states where their reproductive rights have been either eliminated or significantly eroded since justices appointed by Trump helped overturn Roe v Wade.Trump’s budget cuts could also lead to 40,000 children losing their childcare – and affect 2.4 million children’s access to childcare and early childhood education. That could have negative effects that follow those kids around the rest of their lives, in addition to imposing greater hardships on their parents.Other cuts target funding for the National Institutes of Health (NIH) research on health disparities, including Black maternal and fetal health, as well as $11.4bn in state and community health department grants. And of course all this comes alongside Trump’s anti-DEI executive actions, which target anti-discrimination protections for transgender children and transgender women.One of the few winners in this budget is the mass deportation system, which is poised to see significant increases. Yet the immigration raids and deportations this will fund will separate families – including up to 4.4 million US citizen children with an undocumented parent and another 850,000 undocumented minors.None of this is popular. By large majorities, Americans across the political spectrum oppose cuts to Medicaid, Snap and other safety net programs, as well as deportations that separate families and target Dreamers who came here as young children. It’s no wonder that countless women and children were among the millions who turned out for 5 April’s “Hands Off” rallies.I agree with Jocelyn Smith, who asks: “I don’t think this is fair. Do you?”

      Karen Dolan is a federal safety net expert and a fellow at the Institute for Policy Studies. More

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      ‘No guidance and no leadership’: chaos and confusion at CDC after mass firings

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      For the past two months, members of the Elon Musk-led “department of government efficiency” (Doge) have stalked the halls of the Center for Disease Control’s (CDC) Atlanta headquarters.Several employees told the Guardian that if a Doge staffer walked through their offices and saw a badge at an untended workstation, its owner would be fired promptly. Firing someone for a security violation gave Doge an excuse to circumvent the defenses of civil service protection, or performance reviews, or seniority.Loose badge. Gone.If being fired for leaving a badge at a bathroom break seemed arbitrary to those working at the CDC – some for decades – then the mass firings on 1 April made it brutally so. On that day thousands of federal workers at the US Department of Health and Human Services (HHS) all of its branches and related agencies across the country were let go in a culling indicative of Donald Trump’s second term.Roughly 10,000 people lost their jobs at agencies including the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration and the National Institutes of Health in a continuation of one of the largest mass firings in American history.Among the cuts to the CDC: the entire Freedom of Information Act team, the Division of Violence Prevention, laboratories that test antibiotic resistance and a team that determines recalls for dangerous baby products.“There’s been no guidance and no leadership,” said one CDC scientist who still has a job, speaking on condition of anonymity. “This week has just been looking through the wreckage for survivors.”A week of chaos and confusionThe scope of the cuts remains a mystery to federal health workers, including it seems the Department of Health and Human Services secretary, Robert F Kennedy Jr, who said as much as 20% of the cuts may be mistakes, and moved to reinstate some staff fired in error. Kennedy said that “was always the plan”.In the hours after the cuts, an aqua-green dry erase board in a library at the CDC headquarters in Atlanta tallied the losses Tuesday morning like a casualty board for earthquake victims.View image in fullscreenThe words “DO NOT ERASE” topped a constellation of acronyms like NCCDPHP for the National Center for Chronic Disease Prevention and Health Promotion, or NCICP for the National Center for Injury Prevention and Control. Under each top line followed a second set of acronyms showing the branches of each department that had been pruned, like the Women’s Health and Fertility Branch (WHFB) of the Division of Reproductive Health, or the Violence Prevention Practice and Translation Branch (VPTB) in the Division of Violence Prevention.No real warning had been given about who would keep their job and who could expect to be fired. Right up until Doge sent reduction-in-force notices to inboxes early Tuesday morning, even supervisors had no idea who would be left.People gathered around the board for updates as word drifted in from colleagues about cuts, as it was the only planning document staff leaders had. Health workers circulated updated pictures of it through informal group chats and Discord servers.Scientists began breaking down in tears in the library stacks.An inquiry to the CDC about the scope of the cuts and its plan was routed to HHS.“All statutorily required positions and offices will remain intact, and as a result of the reorganization, will be better positioned to execute on Congress’s statutory intent,” said Emily G Hilliard, a deputy press secretary for the department. Hilliard claimed the “collaborative” process “included three rounds of feedback from each division”, and that “HHS leaders focused personnel cuts on redundant or unnecessary administrative positions”.The fact sheet Hilliard provided contained no references to the scientific functions lost in the purge.Heartbreak and warnings of dangerShelby Hutton, a biologist working on HIV research, learned she had been fired on 1 April. “We had until the end of the day to pack up our personal belongings before we lost all access,” she said at a press conference with Nikema Williams, the Democratic congresswoman representing Atlanta, on Friday.“We were given no time to conduct an orderly shutdown of the laboratories to ensure that our sensitive equipment and priceless biohazardous specimens were protected and stored properly.”Fired staffers like Hutton found themselves mourning not just for their lost jobs, but because they are acutely aware that without their research some people will die who would have otherwise lived, but for the research they had been conducting.View image in fullscreenLaboratories around the world submit biological samples and testing data to the CDC, which maintains a repository of historical information for research references.In critical areas like antibiotic-resistant infection surveillance, no one is left at the labs to take those samples, one scientist said.Hospitals also ask the CDC for advice when seeing a novel illness. But the process of examining those requests and answering them has been disrupted, said Kevin Pettus, a 30-year-old veteran scientist at the agency who lost his job last week.“I think when they decided to cut our branch, they didn’t think this through,” he said. “If the agenda was to make America healthy again, all Elon Musk and 47 have done is make this country in a worse position than it already was.“What has occurred has put everybody in danger, not just our families, but their families as well. Some of this needs to be addressed and addressed immediately and reversed.”Kennedy, the US health secretary, said at a press availability Wednesday that administrative roles, not research, was the Doge target. But as healthcare workers piece together the scope of the cuts, it’s clear that the cuts struck bone, not fat.“The US had incredible research infrastructure and was doing incredible research to identify the next cure, to prevent the next disease, and that’s what’s being cut,” said Carmen Marsit, executive associate dean at Emory University’s Rollins School of Public Health.“I mean, the government has made enormous investments in many of these drugs, in many of the programs that have been developed, and now we’re ready to move them over the finish line and really get them to act. And that’s being stopped.”Widespread cuts impact health and safetyAs federal workers learn of the work that has been stalled and teams have been cut, the impact is slowly becoming clear.Among the cuts are almost everyone at the National Institute for Occupational Safety and Health, which among other things, monitors air quality around fracking drill sites, tests personal protective technology and provides injury data to government agencies for recalling consumer products like defective baby cribs.The office of Smoking and Health at the National Center for Chronic Disease Prevention and Health Promotion saw its public health work disrupted. As did the division of violence prevention, injury prevention and informatics at the National Center for Injury Prevention and Control. Among other things, the division researches gun violence and domestic violence, which both spiked during the pandemic, with the goal of reducing sexual assault and gun deaths.Cuts hit the laboratories researching viral hepatitis and sexually transmitted diseases at National Center for HIV, Viral Hepatitis, STD, and TB Prevention, as well as the Division of HIV Prevention’s communication, surveillance and research branches.The Global Health Center at the CDC saw health informatics, scientific integrity and special initiatives for HIV and tuberculosis decimated.View image in fullscreenAnd amid a larger effort to dismantle environmental protection, workers were cut at the asthma and air quality monitoring and childhood lead prevention teams in the CDC’s environmental health division.Other CDC reductions include the technology branch of the Center for Forecasting and Outbreak Analytics, housing the software engineers and computer scientists supporting a new center created amid the Covid-19 pandemic to help predict disease outbreaks.CDC staff had already been navigating the impact of a deluge of executive orders raining from Trump’s pen since January. At one point, research databases had been taken off line to comply with an order to replace all references to “gender” with “sex,” even in scientific research documentation.But at least then, the CDC had staff ready to fix a problem. Now workers say the problems will emerge and the people who understand how to solve those problems are gone.Insiders say only a skeleton staff remains in dozens of departments and branches, capable only of performative gestures toward the work mandated by law and congressional budgets.Looking forwardStanding across the street from the CDC headquarters on a busy street near Emory University, Atlanta drivers honked in support as congresswoman Williams stood with fired CDC workers at a press conference.Williams called the CDC the “pride of the fighting fifth”, a reference to Trump’s disrespect for the city that began with his conflict with the late congressman John Lewis and Georgia’s fifth congressional district.“It is in these moments of public transgressions against our communities that our reaction in the name of justice and prosperity must be loud and clear,” she said, describing the firings as illegal and unconstitutional. “We fight for the health and decency of our country.“We fight in our communities.” More

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      Second child dies of measles in Texas amid rising outbreak

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      A second child with measles has died in Texas amid a steadily growing outbreak that has infected nearly 500 people in that state alone.The US health and human services department confirmed the death to NBC late Saturday, though the agency insisted exactly why the child died remained under investigation. On Sunday, a spokesperson for the UMC Health System in Lubbock, Texas, said that the child had been hospitalized before dying and was “receiving treatment for complications of measles” – which is easily preventable through vaccination.The family of the child in question had chosen to not get the minor vaccinated against the illness.Michael Board, a news reporter at Texas’s WOAI radio station, wrote on Sunday that official word from the state’s health and human services department was that the child died from “measles pulmonary failure” while having had no underlying conditions.Citing records it had obtained, the New York Times described the child as an eight-year-old girl.That marked the second time a child with measles had died since 26 February. The first was a six-year-old girl – also hospitalized in Lubbock – whose parents had not had her vaccinated.The Trump administration’s health secretary, Robert F Kennedy Jr, on Sunday identified the two children to have died with measles as Kayley Fehr and Daisy Hildebrand. Daisy was the one who died more recently, and Kennedy said in a statement that he traveled to her funeral on Sunday to be with her family as well as the community in its “moment of grief”.Kennedy for years has baselessly sowed doubt about vaccine safety and efficacy. He sparked alarm in March among those concerned by the US’s measles outbreak when he backed vitamins to treat the illness and stopped short of endorsing protective vaccines, which he minimized as merely a “personal choice” rather than a safety measure that long ago was proven effective.In his statement on Sunday, Kennedy said: “The most effective way to prevent the spread of measles is the MMR vaccine,” which also provides protection against mumps and rubella. He also said he would send a team to support Texas’s local- and state-level responses to the ongoing measles outbreak.A third US person to have died after contracting measles was an unvaccinated person in Lea county, New Mexico, officials in that state announced in early March.Dr Peter Marks, who recently resigned as the Food and Drug Administration’s vaccine while attributing that decision to Kennedy’s “misinformation and lies”, blamed the US health secretary and his staff for the death of the child being buried on Sunday.“This is the epitome of an absolute needless death,” Marks said Sunday during an interview with the Associated Press. “These kids should get vaccinated – that’s how you prevent people from dying of measles.”Marks also told the AP that he had warned US senators that the country would endure more measles-related deaths if the Trump administration did not more aggressively respond to the outbreak. The Senate health committee has called Kennedy to testify before the group on Thursday.One of that committee’s members is the Louisiana Republican and medical doctor Bill Cassidy, who frequently speaks about the importance of getting vaccinates against diseases but joined his Senate colleagues in voting to confirm Kennedy as the US health secretary.Cassidy on Sunday published a statement saying: “Everyone should be vaccinated.”There is “no benefit to getting measles”, Cassidy’s statement added. “Top health officials should say so unequivocally [before] another child dies.”Measles, which is caused by a highly contagious, airborne virus that spreads easily when an infected person breathes, sneezes or coughs, had been declared eliminated from the US in 2000. But the virus has recently been spreading in undervaccinated communities, with Texas and New Mexico standing among five states with active outbreaks – which is defined as three or more cases.The other states are Kansas, Ohio and Oklahoma. Collectively, as of Friday, the US had surpassed 600 measles cases so far this year – more than double the number it recorded in all of 2024. Health officials and experts have said that they expect the measles outbreak to go on for several more months at least – if not for about a year.Texas alone was reporting 481 cases across 19 counties as of Friday, most of them in the western region of the state. It registered 59 previously unreported cases between Tuesday and Friday. There were also 14 new hospitalizations, for a total of 56 throughout the outbreak.More than 65% of Texas’s measles cases are in Gaines county, which has a population of just under 23,000, and was where the virus started spreading in a tightly knit, undervaccinated Mennonite community.Gaines has logged 315 cases – in just over 1% of the county’s residents – since late January.The Associated Press contributed reporting More

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      Trump makes sweeping HIV research and grant cuts: ‘setting us back decades’

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      The federal government has cancelled dozens of grants to study how to prevent new HIV infections and expand access to care, decimating progress toward eliminating the epidemic in the United States, scientists say.The National Institutes of Health (NIH) terminated at least 145 grants related to researching advancements in HIV care that had been awarded nearly $450m in federal funds. The cuts have been made in phases over the last month.NIH, a division of the Department of Health and Human Services, is the largest funding source of medical research in the world, leaving many scientists scrambling to figure out how to continue their work.“The loss of this research could very well result in a resurgence of HIV that becomes more generalized in this country,” said Julia Marcus, a professor at Harvard Medical School who recently had two of her grants cancelled. “These drastic cuts are rapidly destroying the infrastructure of scientific research in this country and we are going to lose a generation of scientists.”In 2012, the FDA approved pre-exposure prophylaxis (PrEP), an antiviral drug taken once a day that is highly successful at preventing new HIV infections. While the drug has been a powerful tool to contain the virus, inequities remain in accessing those drugs and sustaining a daily treatment. Despite major progress, there are still 30,000 new infections each year in the US.Many of the terminated HIV-related studies focused on improving access to drugs like PrEP in communities that have higher rates of infections – including trans women and Black men. One of Marcus’s projects was examining whether making PrEP available over the counter would increase the use of the drug in vulnerable communities.“The research has to focus on the populations that are most affected in order to have an impact and be relevant,” said Marcus.Yet, this may be the justification for defunding so many HIV-related studies. A termination letter reviewed by the Guardian dated 20 March cited that “so-called diversity, equity and inclusion (DEI) studies are often used to support unlawful discrimination on the basis of race and other protected characteristics, which harms the health of Americans.”The National Institutes of Health did not expand on why the grants were terminated in response to questions from the Guardian. In a statement it said it is “taking action to terminate research funding that is not aligned with NIH and HHS priorities. We remain dedicated to restoring our agency to its tradition of upholding gold-standard, evidence-based science.”Many researchers were left stunned by the scale of the cancellations since in 2019, Donald Trump announced in his State of the Union address a commitment to eliminate the HIV epidemic in the country over the next 10 years. As part of this initiative, his administration negotiated a deal with drug companies to provide free PrEP for 200,000 low-income patients.“Scientific breakthroughs have brought a once-distant dream within reach,” said Trump in his address. “Together we will defeat Aids in America.”Amy Nunn, a professor at the Brown University School of Public Health, said she had even tailored grant proposals to fit the policy goals of the initiative, which included geographically targeting HIV prevention efforts. One of her studies that was terminated focused on closing disparities of PrEP use among African American men in Jackson, Mississippi.“They finally adopted those policies at the federal level,” Nunn said, noting that Trump was the first president to make ending the epidemic a priority. “Now they’re undercutting their own successes. It’s so strange.”Though hundreds of millions of dollars in federal funds had been awarded for the grants, the terminations will not recoup all of that money for the administration, since many are years into their work. Some are even already finished.Nathaniel Albright learned earlier this month that an NIH grant supporting his doctoral research was cancelled even though his project had already been completed. A PhD candidate at Ohio State University, Albright is defending his dissertation at the end of the month. Still, Albright is concerned how the cuts impact the future of the field.“It’s created an environment in academia where my research trajectory is now considered high risk to institutions,” said Albright, who is currently struggling to find postdoctorate positions at universities.Pamina Gorbach, an epidemiologist who teaches at University of California, Los Angeles, had been following hundreds of men living with HIV in Los Angeles for 10 years to learn their needs. She had been awarded an NIH grant to better facilitate their treatment through a local clinic. Her funding was cancelled earlier this month as well.“It’s really devastating,” said Gorbach. “If you’re living with HIV and you’re not on meds, you know what happens? You get sick and you die.”Clinic staff in Los Angeles will likely be laid off as a result of the cuts, said Gorbach. Others agreed one immediate concern was how to pay their research staff, since the funds from a grant are immediately frozen once it is terminated. The NIH funds also often make up at least a portion of university professor’s salaries, all said they were most alarmed by the impact on services for their patients and the loss of progress toward ending the epidemic.“This is erasing an entire population of people who have been impacted by an infectious disease,” said Erin Kahle, the director of the Center for Sexuality and Health Disparities at the University of Michigan who lost an NIH grant.Scrapping an entire category of disease from research will have innumerable downstream effects on the rest of healthcare, she added.“This is setting us back decades,” said Kahle. More

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      Democrats train fire on Musk as unelected billionaire dips in popularity

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      For most of the 17-minute interview, Elon Musk stuck to a script. He was just a tech guy on a mission to “eliminate waste and fraud” from government.His slash-and-burn cost-cutting crusade was making “good progress actually”, he told the Fox Business commentator Larry Kudlow on Monday, despite sparking a backlash that has reverberated far beyond Washington.“Really, I just don’t want America to go bankrupt,” he said.But then Kudlow asked Musk to look forward. Would the so-called “department of government efficiency” (Doge) still be in place in a year? He thought so – his assignment wasn’t quite complete. Musk, the world’s richest man, then pointed to social security, a widely popular federal program that provides monthly benefits to retirees and people with disabilities, and other social safety net programs: “Most of the federal spending is entitlements. That’s the big one to eliminate.”For weeks, Donald Trump and Republicans have insisted that social security, Medicaid or Medicare would not “be touched”. Now Musk was suggesting the programs would be a primary target. Almost as soon as the words left his mouth, Democrats pounced.“The average social security recipient in this country receives $65 a day. They have to survive on $65 a day. But you want to take a chainsaw to social security, when Elon Musk and his tens of billions of dollars of government contracts essentially makes at least $8m a day from the taxpayers,” Hakeem Jeffries, the US House minority leader, said in a floor speech the following day. “If you want to uncover waste, fraud or abuse, start there.”As the second Trump era comes into focus, Democrats have found a new villain: an “unelected billionaire” whose bravado – and sinking popularity – they believe may offer their party a path out of the political wilderness.“There’s nowhere in America where it is popular to cut disease research, to gut Medicaid and to turn off social security,” said Jesse Ferguson, a Democratic strategist. “So it’s hard to see a place where what Musk is doing for Trump doesn’t become an albatross for Republicans.”The White House has championed Doge’s work while reiterating that Trump would “protect” social security and other entitlement programs. Musk did not respond to a request for comment.The Social Security Administration , which serves more than 70 million Americans, has announced plans to reduce its workforce by more than 10% and close dozens of offices nationwide as part of Doge’s federal overhaul. Officials with the group have been installed at the agency since early last month.Despite mounting criticism of Musk, the president has embraced his beleaguered ally, who spent close to $300m helping elect him to the White House. This week, Trump hailed Musk as a “patriot” as he showcased Teslas from the south lawn of the White House. The president selected a red sedan, hoping to boost the electric car company, which has suffered a sharp decline in sales and stock prices since its chief executive launched his Doge operation. The White House has said that if conflicts of interest arise, “Elon will excuse himself from those contracts”.But Musk and his chainsaw-wielding approach to downsizing government is playing a starring role in early Democratic ads and fundraising appeals. Progressive activists have staged “nobody elected Elon” protests across the country while other groups are targeting Tesla showrooms and dealerships. On a “fighting oligarchy” tour across the country, Senator Bernie Sanders pointed to Musk’s growing political influence as a central threat to American democracy.“Most American people, they can’t name us. They don’t know who Chuck Schumer is, but they do know what this administration and Elon Musk and the GOP are planning for them,” Katherine Clark, the House minority whip, said on Friday. “It’s why you’re seeing this uproar in town halls.”While Democrats have much to say about Musk, they are less sure of how to stop him.Many of Doge’s actions have been halted or stopped in the courts. This week two federal judges ordered government agencies to rehire tens of thousands of probationary employees who were fired as part of Doge’s purge of the federal workforce.Locked out of power in Washington, Democrats are under enormous pressure to use any leverage they have to block Trump and Musk. A Republican-authored bill to fund federal agencies through September and avert a shutdown fiercely divided Democrats this week. House Democrats and progressive activists erupted in anger at Chuck Schumer, the Senate minority leader, who ultimately relented and helped pass the measure rather than risk a funding lapse and, in his words, give Musk and Doge an opportunity to “exploit the crisis for maximum destruction”.Public polling underlines Democrats’ interest in Musk. A new CNN survey found that just 35% of Americans held a positive view of the billionaire Trump adviser, a full 10 percentage points lower than the president. The poll also found that he is notably better known and more unpopular than the vice-president, JD Vance.More than six in 10 Americans said Musk had neither the right experience nor the judgment to carry out a unilateral overhaul of the federal government, though views broke sharply along partisan lines. Roughly the same share said they were worried the reductions would go “too far”, resulting in the loss of critical government programs.A survey conducted by the left-leaning Navigator Research polling firm late last month found that views of Doge as a standalone cost-cutting initiative were marginally favorable, in line with other polls that have found Americans are broadly supportive of its stated mission to root out waste and improve efficiency. But there are signs Americans don’t like the approach or implementation so far.When the effort was framed as “Elon Musk’s Doge”, views turned sharply more negative. The poll also captured the far-reaching impact of the cuts: 20% say they or someone they know has lost access to a federal service, 19% say they or someone they know has lost access to a federal grant, and 17% say they or someone they know has quit or been laid off from a federal government job.skip past newsletter promotionafter newsletter promotion“Musk is the face of everything that people are worried about in the Trump administration,” Ferguson said, adding: “To a lot of people, putting Elon Musk in charge of protecting the middle class is like putting Jeffrey Dahmer in charge of protecting a morgue.”Democrats believe Musk’s comments on entitlement programs are particularly potent – the world’s wealthiest man advocating for steep cuts to programs designed to help retirees and vulnerable Americans.In the Fox Business interview, Musk claimed the programs were rife with waste and fraud, suggesting as much as $600bn to $700bn – or nearly a quarter of their budget – could to be cut. Federal watchdogs have long identified improper spending as a problem, but Musk’s figure exceeds their estimates.Musk has derided social security as “the biggest Ponzi scheme of all time”. As evidence of widespread fraud, Musk repeated a debunked theory, favored by Trump, that social security benefits are being paid to dead centenarians. The head of the agency has rejected the premise. Democrats have warned that Trump and Musk were using false or exaggerated claims of fraud as a “prelude” to slash the program or privatize it, as many conservatives have long desired.After Musk’s comments aired, the White House swiftly issued a “fact check” insisting that Musk had only advocated for eliminating waste and highlighted several occasions in which Trump has vowed to protect Americans’ benefits.Republicans also rushed to clarify Musk’s comments. “Look, Elon Musk is a brainiac with an IQ that I cannot even fathom. He is not a master of artful language,” Mark Alford, a Republican representative of Missouri, said on CNN. “We are not going to eliminate social security, Medicare and Medicaid. That’s sheer nonsense.”It was a rare break with Musk, whom Republicans have been loath to cross, well aware that he not only has the president’s full support and ear but a fortune to squash any dissent within the ranks. During Trump’s address to Congress earlier this month, Republicans gave Musk a standing ovation as the president heaped praise on his work. They publicly warn that Democrats oppose Musk’s fraud-and-waste removal efforts at their own political peril.Yet there are signs that Republicans are beginning to worry. Despite Trump’s close alliance with Musk, even he seemed to indicate it was time to rein him in. “We say the ‘scalpel’ rather than the ‘hatchet’,” the president wrote in a social media post.House Republicans have reportedly been advised not to hold in-person town halls after several widely publicized confrontations with constituents furious over loss of government jobs and services. At the few meetings that did take place this weekend, constituents confronted Republican members of Congress with their concerns about possible cuts to social security.Republicans are weighing deep cuts to entitlement programs as a way to offset the cost of extending Trump’s sweeping tax cuts aimed largely at the wealthy. Trump has praised the House plan.“The Republican party at this point has wrapped both arms around the third rail and is holding on as the electricity flows,” said Ben Wikler, the chair of the Democratic party in Wisconsin, where a contest next month will provide an early test of the party’s anti-Musk strategy.On Thursday night, Wikler hosted a People v Musk grassroots event to discuss the billionaire’s impact on the 1 April state supreme court race, which will determine the balance of power between conservative and liberal justices on Wisconsin’s highest bench. Musk has spent millions of dollars through his America Pac in an effort to tip the scales in favor of Brad Schimel, a county judge and former Republican attorney general. Democrats are supporting Susan Crawford, a county judge and former attorney for Planned Parenthood.Wikler said Musk’s ascendancy in Washington – and his influence in the race – has turned liberal voters in the state from “concerned to panicked to outraged with the heat of 1,000 suns”.“If Susan Crawford wins this race, and Musk and Schimel lose,” he said, “then that will be a big bat signal in the sky to Democrats everywhere that fighting back is not only the right thing to do, it’s good politics.” More

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      Oz vows to make Americans healthier but dodges questions on Trump cuts

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      Dr Mehmet Oz promised senators on Friday to fight healthcare fraud and push to make Americans healthier if he becomes the next leader of the Centers for Medicare and Medicaid Services.But the former heart surgeon and TV personality dodged several opportunities to say broadly whether he would oppose cuts to Medicaid, the government-funded program for people with low incomes.Oz, Donald Trump’s pick to be the next CMS administrator, also said technology such as artificial intelligence and telemedicine can be used to make care more efficient and expand its reach.“We have a generational opportunity to fix our healthcare system and help people stay healthy for longer,” he said in his opening remarks.He faced over two and a half hours of questioning before the Republican-controlled Senate finance committee, which will vote later on whether to forward his nomination to the full Senate for consideration.Leading the Centers for Medicare and Medicaid Services presents a “monumental opportunity” to make the country healthier, Oz told senators on Friday morning.“We don’t have to order people to eat healthy, we have to make it easier for people to be healthy,” adding that he considered maintaining good health a “patriotic duty”.Republicans, who have coalesced around Trump’s nominees for the health agencies, asked Oz about his plans for eliminating fraud from the $1tn programs.Democrats, meanwhile, tried to pin him down on potential cuts to the state and federally funded Medicaid program that Republicans are considering.The 64-year-old was a respected heart surgeon who turned into a popular TV pitchman. Now he has his sights on overseeing health insurance for about 150 million Americans enrolled in Medicare, Medicaid or Affordable Care Act coverage.Republicans, who have coalesced around Trump’s nominees for the health agencies, are likely to ask Oz about his plans for Medicare and Medicaid, including the Trump administration’s focus on eliminating fraud from the $1tn programs.Democrats, meanwhile, will question Oz’s tax filings, which they say show he has used a tax code loophole to underpay taxes by thousands of dollars on Medicare, the program he will oversee. They will also grill Oz on any cuts he would make to the health insurance coverage as well as comments on his TV show supporting privatized Medicare.The US office of government ethics has done an “extensive review” of Oz’s finances, a spokesperson, Christopher Krepich, said in a statement about Oz’s taxes. He added that the office had indicated “any potential conflicts have been resolved and he is in compliance with the law”.Oz has hawked everything from supplements to private health insurance plans on his former TV series, The Dr Oz Show, which ran for 13 seasons and helped him amass a fortune.Oz’s net worth is between $98m and $332m, according to an analysis of the disclosure, which lists asset values in ranges but does not give precise dollar figures. His most recent disclosure shows he also holds millions of dollars’ worth of shares in health insurance, fertility, pharmaceutical and vitamin companies. He has promised to divest from dozens of companies that would pose conflicts for him as the CMS administrator.In the job, he could wield significant power over most health companies operating in the US because he can make decisions about who and what are covered by Medicare and Medicaid.Oz’s hearing comes as the Trump administration seeks to finalize leadership posts for the nation’s top health agencies. On Thursday, Senate committees voted to advance the nominations of Marty Makary, poised to lead the Food and Drug Administration, and Jay Bhattacharya, set to helm the National Institutes for Health, for a full Senate vote. The nomination of Dave Weldon to the Centers for Disease Control and Prevention was abruptly withdrawn on Thursday.Those men have all leaned into Robert F Kennedy Jr’s call to “Make America healthy again”, a controversial effort to redesign the nation’s food supply, reject vaccine mandates and cast doubt on some long-established scientific research.“Americans need better research on healthy lifestyle choices from unbiased scientists,” Oz wrote late last year in a social media post praising Kennedy’s nomination to be health secretary.This is not Oz’s first time testifying before senators. In 2014, several senators scolded him during a hearing about the questionable weight loss products he hawked on his television show. More