Defunding the necessities

Now Musk is interfering with people’s health care.

The U.S. DOGE Service is putting new curbs on billions of dollars in federal health-care grants, requiring government officials to manually review and approve previously routine payments — and paralyzing grant awards to tens of thousands of organizations, according to 12 people familiar with the new arrangements.

The effort, which DOGE has dubbed “Defend the Spend,” has left thousands of payments backed up, including funding for doctors’ and nurses’ salaries at federal health centers for the poor. Some grantees are waiting on payments they expected last week.

Some officials have been told that only Trump political appointees can sign requests to disburse funds, even if a career official has already approved it, adding an additional layer of review. The justification for each payment also must include an explanation of how the money will be used to advance Trump administration priorities, according to two employees in separate agencies who received high-level briefings on the process.

If that’s the case then most payments will be ended entirely, because they have nothing to do with Trump admin priorities. Naturally public health is not a Trump priority.

Among those immediately suffering consequences are federal health centers, which provide services for low-income people and those who lack insurance, the employee said. Those centers rely on regular drawdowns for their operational expenses, such as doctors’ and nurses’ salaries and basic medical supplies.

Among those immediately suffering consequences are federal health centers, which provide services for low-income people and those who lack insurance, the employee said. Those centers rely on regular drawdowns for their operational expenses, such as doctors’ and nurses’ salaries and basic medical supplies.

If the funding delay continues much longer, the situation will grow dire for such centers, imperiling their ability to assist the poor, the employee said.

Now that is a Trump priority.

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