Cutting 20,000 Jobs by Trump Admin. | HHS Restructure

In a bold move, the Trump administration has announced a major restructuring of the U.S. Department of Health and Human Services (HHS), resulting in the elimination of 20,000 jobs. The restructuring will reduce the department’s workforce from 82,000 to 62,000 employees and consolidate 28 divisions into 15. These changes are expected to save $1.8 billion, while realigning HHS to focus on addressing chronic diseases and improving efficiency.

Key Changes in the HHS Restructure The reorganization will involve significant job cuts across multiple health agencies, including the FDA, CDC, NIH, and CMS. Notably, 3,500 positions at the FDA, 2,400 at the CDC, and 1,200 at the NIH will be eliminated. However, drug and food safety reviewers at the FDA will not be impacted, and Medicare and Medicaid services remain unaffected.

A new entity, the Administration for a Healthy America (AHA), will be created to streamline chronic care and disease prevention efforts. This move combines several existing agencies and aims to improve coordination across maternal health, mental health, and HIV/AIDS programs.

Critics of the HHS Restructure While the administration touts the savings and efficiencies, critics argue that these cuts could undermine public health services and increase health-related costs in the long run. Experts point out that significant staff reductions may hinder essential services like fraud prevention and healthcare oversight.

Senator Angela Alsobrooks has condemned the plan, stating that these cuts could lead to preventable deaths. The restructuring is also stirring fear among HHS employees, who worry about job security and the future of their respective agencies.

Public Health Concerns Amid HHS Cuts As the HHS reorganization continues, public health advocates are concerned that slashing the workforce could negatively affect health outcomes, especially as the country faces ongoing health challenges. The restructuring also includes a shift of the Administration for Strategic Preparedness and Response (ASPR) under the CDC, which some experts believe may limit the scope of the agency’s emergency response capabilities.

The controversy surrounding these drastic cuts is expected to intensify as the HHS moves forward with the restructuring process.

Attributions/Sources

By Selena Simmons-Duffin

Diane Webber, Rob SteinPien Huang https://www.nprillinois.org/2025-03-27/the-trump-administration-restructures-federal-health-agencies-cuts-20-000-jobs

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