Health
10,000 Federal Health Workers to Be Laid Off
The Trump administration announced on Thursday that it was laying off 10,000 employees at the Health and Human Services Department as part of a broad reorganization that reflects the priorities of the health secretary, Robert F. Kennedy Jr., and the White House’s drive to shrink the government.
The layoffs are a drastic reduction in personnel for the health department, which had employed about 82,000 people and touches the lives of every American through its oversight of medical care, food and drugs.
The layoffs and reorganization will cut especially deep at two agencies within the department that have been in Mr. Kennedy’s sights: the Food and Drug Administration and the Centers for Disease Control and Prevention. Those agencies are expected to lose roughly 20 percent of their staff members from the latest cuts alone.
Together with previous buyouts and early retirements spurred by Trump administration policies, the move will pare the health department down to about 62,000 employees, the agency said.
The restructuring is intended to bring communications and other functions directly under Mr. Kennedy. And it includes creating a new division called the Administration for a Healthy America.
“We’re going to do more with less,” Mr. Kennedy said, even as he acknowledged that it would be “a painful period for H.H.S.”
Mr. Kennedy asserted that rates of chronic disease rose under the Biden administration even as the government grew. But he did not provide data to back up his claim; experts say that rates of chronic disease have been rising for the past two decades, including under the first Trump administration. Two 2024 analyses of the issue used C.D.C. data from 2020.
The health secretary pitched the changes as a way to refocus the agency on Americans’ health, but did not outline any specifics on how he would reduce rates of diabetes, heart disease or any other conditions.
Inside the affected agencies, stunned employees struggled to absorb the news. Democrats and outside experts said the move would decimate agencies charged with protecting the health and safety of the American public, depriving it of the scientific expertise necessary to respond to current and future biological threats.
“In the middle of worsening nationwide outbreaks of bird flu and measles, not to mention a fentanyl epidemic, Trump is wrecking vital health agencies with the precision of a bull in a china shop,” said Senator Patty Murray, a Washington Democrat who has been a leader on health issues in Congress.
She called Mr. Kennedy’s comments about doing more with less an “absurd suggestion” that “defies common sense.” Her sentiments were echoed by several agency employees, who spoke on the condition of anonymity to avoid retribution.
They said they worried not for themselves, but for the country, expressing concern about what the layoffs would mean for public health and whether putting safety at risk was really what Americans wanted.
Under the plan, the C.D.C., which handles a wide range of health issues including H.I.V./AIDS, tobacco control, maternal health and the distribution of vaccines for children, would return to its “core mission” of infectious disease.
“Converting C.D.C. to an agency solely focused on infectious diseases takes us back to 1948 without realizing that in 2025, the leading causes of death are noncommunicable disease,” said Dr. Anand Parekh, who served in the health department during the Obama administration and is now the chief medical adviser at the Bipartisan Policy Center in Washington.
The C.D.C. will have its work force cut by about 2,400 employees, and will narrow its focus to “preparing for and responding to epidemics and outbreaks,” an H.H.S. fact sheet said. But it will also absorb the health department’s Administration for Strategic Preparedness and Response, which has 1,000 employees and was elevated to its own separate agency under the Biden administration during the coronavirus pandemic.
The reorganization will cut 3,500 jobs from the F.D.A., which approves and oversees the safety of a vast swath of the medications and food people eat and rely on for well-being, the fact sheet said. The cuts are said to be administrative, but some of the roles support research and monitoring of the safety and purity of food and drugs, as well as travel planning for inspectors who investigate overseas food and drug facilities.
The National Institutes of Health will lose 1,200 staff members, and the agency that administers Medicare and Medicaid is expected to lose 300.
All of those agencies tend to operate under their own authority, and Mr. Kennedy has been at odds with all of them. Mr. Kennedy assailed them, and other parts of the department, in a YouTube video.
“When I arrived, I found that over half of our employees don’t even come to work,” he claimed. “H.H.S. has more than 100 communications offices and more than 40 I.T. departments and dozens of procurement offices and nine H.R. departments. In many cases, they don’t even talk to each other. They’re mainly operating in silos.”
Mr. Kennedy’s move to take control of health communications is significant. Currently, agencies including the C.D.C., the N.I.H. and the F.D.A. manage their own communications with the press and the public.
During the first Trump administration, the C.D.C. clashed with the White House, which silenced agency scientists and took control of its public outreach about Covid-19. The agency’s chief spokesman quit in frustration last week, saying the C.D.C. has been muzzled since January, when Mr. Trump returned to office.
The 28 divisions of the Health and Human Services Department will be consolidated into 15 new divisions, according to a statement issued by the department. Mr. Kennedy announced the changes in his video. The staff cuts, reported earlier by The Wall Street Journal, are being made in line with President Trump’s order to carry out the Department of Government Efficiency’s drive to shrink the federal work force.
The plan also includes collapsing 10 regional H.H.S. offices into five.
The department notified union leaders of the “reduction in force” — known as a “RIF” in federal parlance — early Thursday morning by email. The message, obtained by The New York Times, said the layoffs would most likely take effect on May 27 and were “primarily aimed at administrative positions including human resources, information technology, procurement and finance.”
Democrats including Ms. Murray reacted with fury to the cuts. Representative Gerald E. Connolly of Virginia, the top Democrat on the Oversight and Government Reform Committee, said the cuts were troubling amid a bird flu outbreak and an uptick in measles cases.
“This is a grave mistake,” Mr. Connolly said in a statement, “and I have serious concerns about how this will impact Americans’ well-being now and long into the future.”
Republicans seemed to be taking more of a wait-and-see stance. Senator Bill Cassidy, Republican of Louisiana and the chairman of the committee that oversees health, said he had breakfast with Mr. Kennedy on Thursday. Mr. Cassidy suggested he was open to the reorganization but expected the two “would have more conversations” about specific cuts as their effects became clearer.
Doreen Greenwald, the president of the National Treasury Employees Union, which represents 18,500 H.H.S. staff members across the country, issued a statement vowing to “pursue every opportunity to fight back on behalf of these dedicated civil servants.”
“The administration’s claims that such deep cuts to the Food and Drug Administration and other critical H.H.S. offices won’t be harmful are preposterous,” Ms. Greenwald said.
Xavier Becerra, who served as health secretary under President Joseph R. Biden Jr., issued a statement saying the cuts would most likely downgrade services to elderly and disabled people, and those with mental health challenges, in addition to preparedness for health crises.
“This has the makings of a man-made disaster,” he said on social media.
Mr. Kennedy suggested in the video that the changes would help his team get more access to data. That prospect has been worrisome to his critics, given Mr. Kennedy’s long history of manipulating figures to advance arguments about what he contends are the risks of vaccines that have widely been deemed safe.
“In one case,” Mr. Kennedy said, “defiant bureaucrats impeded the secretary’s office from accessing the closely guarded databases that might reveal the dangers of certain drugs and medical interventions.”
Mr. Kennedy said the new division he is creating, the Administration for a Healthy America, would combine a number of agencies focused on substance abuse treatment and chemical safety, as well as the agency that administers courts that handle federal claims over vaccine injuries.
“We’re going to consolidate all of these departments and make them accountable to you, the American taxpayer and the American patient,” he said. “These goals will honor the aspirations of the vast majority of existing H.H.S. employees who actually yearn to make America healthy.”
Michael Gold contributed reporting.
Health
Brain Health Challenge: Workouts to Strengthen Your Brain
Today, you’re going to do perhaps the single best thing for your brain.
When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.
“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.
Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.
Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.
Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.
All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.
The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.
The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.
Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.
Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.
If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”
For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.
Health
Little-known prescription pill is helping Americans drink less alcohol
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Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.
The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.
In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.
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How it works
Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.
The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)
“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.
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The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.
“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”
Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder.
“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.
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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”
The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added.
“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”
Side effects
Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).
These effects are generally mild and may improve as the body adjusts to the medication.
The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)
In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.
“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.
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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.
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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.
“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.
More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)
“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”
Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.
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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.
Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.
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Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.
They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.
Health
Brain Health Challenge: Try the MIND Diet
Welcome to Day 2 of the Brain Health Challenge. Today, we’re talking about food.
Your brain is an energy hog. Despite comprising about 2 percent of the average person’s body mass, it consumes roughly 20 percent of the body’s energy. In other words, what you use to fuel yourself matters for brain health.
So what foods are best for your brain?
In a nine-year study of nearly 1,000 older adults, researchers at Rush University in Chicago found that people who ate more of nine particular types of food — berries, leafy greens, other vegetables, whole grains, beans, nuts, fish, poultry and olive oil — and who ate less red meat, butter and margarine, cheese, sweet treats and fried food had slower cognitive decline.
Based on these findings, the researchers developed the MIND diet.
Large studies encompassing thousands of people have since shown that following the MIND diet corresponds with better cognitive functioning, a lower risk of dementia and slower disease progression in people with Alzheimer’s. People benefit from the diet regardless of whether they start it in midlife or late life.
Experts think the foods included in the MIND diet are especially good for the brain because they contain certain macro and micronutrients.
Berries and leafy greens, for example, are rich in polyphenols and other antioxidants, said Jennifer Ventrelle, a dietitian at Rush and a co-author of “The Official Mind Diet.” Many of these compounds can cross the blood-brain barrier and help to fight inflammation and oxidative stress, both of which can damage cells and are linked to dementia.
Nuts and fatty fishes, like salmon and sardines, contain omega-3 fatty acids, which are important for building the insulating sheaths that surround the nerve fibers that carry information from one brain cell to another.
Whole grains and beans both contain a hefty dose of fiber, which feeds the good microbes in the gut. Those microbes produce byproducts called short-chain fatty acids that experts think can influence brain health via the gut-brain axis.
You don’t have to revamp your whole diet to get these nutrients. Instead, think about “MIND-ifying” whatever you already tend to eat, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. For instance, add a handful of nuts or berries to your breakfast.
Today’s activity will help you MIND-ify your own meals. Share your choices with your accountability partner and in the comments, and I’ll discuss the ways I’m adjusting my diet, too. For added inspiration, check out these MIND-approved recipes from New York Times Cooking.
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