America’s Health is in Trouble

1. Public Health Institutions Are Weakening

Big Job Cuts at HHS
The Department of Health and Human Services (HHS) is cutting almost 10,000 jobs—nearly one-fourth of its workers. Important programs, like those that help with drug addiction and community health centers, are being shut down.

CDC Leadership Crisis
Dr. Susan Monarez, who was just chosen to lead the CDC, was suddenly fired after less than a month. Many top CDC leaders quit in protest, saying politics—not science—was driving decisions. This weakens trust in the CDC and makes it harder for them to fight diseases and give good health advice.

Why It Matters
These changes make it much harder for the U.S. to handle health problems, like disease outbreaks, vaccinations, and public health research.

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2. Shrinking Safety Net & Higher Costs

Cuts to Medicaid
New laws are cutting money for Medicaid, the program that helps low-income people get healthcare. About 10 million people could lose coverage. Rural hospitals—which are already struggling—may be forced to close. A new fund meant to help rural healthcare is much too small to cover the losses.

Rising Medical Costs
A recent survey found that 4 in 10 American adults have medical debt. About 6 in 10 worry they won’t be able to afford healthcare or surprise medical bills. These fears are bigger than worries about housing or transportation.

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3. Less Ready for Future Crises

Pandemic Readiness is Declining
Experts say America is not ready for the next pandemic. Disease tracking has been cut, vaccine contracts have been canceled, and testing has been reduced. This makes the country more vulnerable to threats like bird flu or measles.

Technology Problems
The FDA is trying to use AI, including a system called “Elsa,” to speed up drug approvals. But it has spread wrong information, showing that the technology isn’t ready for such important work.

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4. Ongoing System Pressures

States Struggling with Healthcare
States like Mississippi, Texas, Oklahoma, Arkansas, and West Virginia rank the lowest in healthcare quality, access, and outcomes.

Project 2025 Plans
Policies from “Project 2025” could weaken the CDC’s power, cut reproductive and LGBTQ+ health services, block important data collection, and shrink the role of federal health agencies.

An Aging Population
America’s population is getting older. By 2030, more people will rely on Medicare and Social Security, putting even more stress on the healthcare system.

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5. Human Services in Trouble

Money and Worker Shortages
Agencies that provide important human services are struggling. Insurance costs are rising, government funding is uncertain, and staff shortages are getting worse.

Rural Healthcare Gaps
Many rural areas don’t have enough doctors, hospitals, or maternal care. These “medical deserts” leave families with little or no access to healthcare.

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Bottom Line: America Is Struggling

The U.S. is facing a major health and human services crisis:

• Public health agencies are weakened by politics and job cuts.
• Millions risk losing healthcare coverage.
• We’re less ready for future pandemics.
• Costs are rising, while support systems are shrinking.
• Rural and poor communities are being hit the hardest.

America’s health system is in real trouble—and everyday people are the ones paying the price.

By William Scott

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