
Fear and loathing in federal agencies
Presented by The Pharmaceutical Reform Alliance
With Carmen Paun
Driving The Day
WATCH AND WAIT — Federal workers are facing fresh anxieties with President Donald Trump's first week of actions targeting agencies, including those that lead the federal government's health policies.
Some workers keeping the government running are thinking about quitting, POLITICO's Liz Crampton, Nick Niedzwiadek, Kevin Bogardus, Nahal Toosi and Alice Miranda Ollstein report. Others are preparing to file grievances with their unions, moving communications to encrypted platforms or strategizing.
Within hours of returning to power, Trump issued a slew of executive orders seeking to overhaul how the federal government operates, from removing job protections to ending remote work to implementing a hiring freeze. But his order to remove diversity, equity and inclusion programs has been especially worrisome.
For many federal workers, watching and waiting are the best courses of action until they have more clarity about what comes next.
That's partly because not all of Trump's executive orders are what they seem …
A number of the incoming administration's orders have more muscle than they did in the first Trump administration — but some are just posturing, POLITICO's Irie Senter and Megan Messerly report.
Removing diversity, equity and inclusion programs, freezing spending from the Inflation Reduction Act, withdrawing from the World Health Organization and pulling the plug on the U.S.' commitment to the Paris climate agreement have real consequences across the country — and the globe.
But Trump's order defining gender as only male or female won't automatically fulfill the president's campaign-trail promises to stop transgender students from participating in sports. And the order targeted at ending the federal government's efforts to pressure social media platforms to change their content comes after most of those activities have already ceased.
Still, a number of the Week One policies, from allowing transgender troops to openly serve in the military to ending birthright citizenship, will likely be decided by the courts.
WELCOME TO MONDAY PULSE. I'm Daniel Payne, filling in for Chelsea today. Do you know something about Robert F. Kennedy Jr.'s upcoming confirmation hearing — or a tip about other health policy movement on the Hill? Reach out by email at dpayne@politico.com or by Signal @danielp.100 and ccirruzzo@politico.com and @ChelseaCirruzzo.
In Congress
FIRST IN PULSE: SENATORS IN THE CROSSHAIRS OF ANTI-RFK PUSH — Protect Our Care's Stop RFK War Room is out with a new ad campaign urging senators to reject his confirmation.
The campaign from the Democratically aligned health group leads up to Robert F. Kennedy Jr.'s HHS secretary confirmation hearing before the Senate Finance Committee on Wednesday. Kennedy will appear before the Senate Health, Education, Labor and Pensions Committee on Thursday.
The group, which is putting more than a million dollars into its monthslong campaign against Kennedy, plans to target senators it believes could be open to voting against Kennedy: Sens. Bill Cassidy (R-La.), Susan Collins (R-Maine), John Curtis (R-Utah), Joni Ernst (R-Iowa), Mitch McConnell (R-Ky.), Lisa Murkowski (R-Alaska), Mike Rounds (R-S.D.) and Thom Tillis(R-N.C.).
Another group is targeting the same senators.
314 Action, which works to boost scientists' voices in policymaking, will launch $250,000 in digital ads Monday.
Both groups will call attention to Kennedy's history of anti-vaccine rhetoric as a reason to reject him.
Covid
CIA LEANS TOWARD LAB LEAK — Several Republican lawmakers and others who have supported the theory that a lab leak in China triggered the Covid-19 pandemic feel vindicated after the CIA said Saturday it's more likely that was the pandemic's origins than an infected animal that spread the virus to people, Carmen reports.
This comes after the CIA has been saying for years that it couldn't conclude with certainty how the pandemic started.
A U.S. official granted anonymity to share private details about the assessment said former CIA Director William Burns had told analysts that they needed to take a position on the Covid pandemic's origins but he was agnostic on potential theories.
A new CIA analysis of the intelligence it had on the virus' origin was completed and published internally before the arrival of former Republican congressmember John Ratcliffe, who became the CIA's new director Thursday.
Why it matters: Congressional Republicans have embraced the unproven lab leak theory, pointing to how the first cases of Covid were reported in Wuhan where a virology lab was researching coronaviruses at the time.
Background: Neither theory about how the pandemic started has been proven.
Global Health
GLOBAL HEALTH PROGRAMS' SPENDING FREEZE — A Secretary of State Marco Rubio order freezing foreign aid spending for 90 days Friday alarmed global health activists, some members of Congress and former global health officials, who warned it would lead to deaths among people depending on it for lifesaving treatment.
The President's Emergency Plan for AIDS Relief — better known as PEPFAR — which funds treatment for people living with HIV in many countries, mostly in Africa, is one example.
'This stop-work order is cruel and deadly,' said Asia Russell, the executive director of Health GAP, a nonprofit that advocates for access to treatment in people with HIV.
'It will snatch HIV medicines, prevention services and support from the hands of adults, babies and young people across PEPFAR-supported countries,' she said.
Russell argued that the global program, credited with saving 25 million lives since President George W. Bush started it in 2003, makes America safer, more prosperous and more secure, in line with President Donald Trump's foreign policy tenets.
The program has received about $5 billion in funding annually in recent years.
Dems react: Reps. Gregory Meeks (D-N.Y.), top Democrat in the House Foreign Affairs Committee, and Lois Frankel (D-Fla.), ranking member in the House Appropriations Subcommittee on National Security, Department of State and Related Programs, also warned in a letter to Rubio on Friday that the freeze will cost lives, referring to PEPFAR and the President's Malaria Initiative, which they wrote 'provides 37 million mosquito nets and malaria medicines to 63 million people to prevent further spread of one of the world's deadliest diseases. These lives depend on an uninterrupted supply of medicines.'
Dr. Atul Gawande, who ran global health programs at the U.S. Agency for International Development during the Biden administration, warned in a post on X on Saturday that the order also stops work battling a deadly outbreak of Marburg — a virus similar to Ebola, known to cause more deaths — in Tanzania and 'stops monitoring of bird flu in 49 countries, a disease which has already killed an American on home soil.'
Abortion
MEXICO CITY POLICY IS BACK — Trump signed an executive order Friday reinstating the so-called Mexico City Policy — named for the city where it was first announced — restricting foreign organizations receiving U.S. global health funding from providing and promoting abortion with other sources of financing.
In doing so, Trump is follows a Republican presidential tradition that started with Ronald Reagan in 1984. Democratic presidents have rescinded the policy.
The Trump administration renamed it Protecting Life in Global Health Assistance during his first term.
Anti-abortion advocates, including members of Congress, celebrated the return of the policy.
'By redirecting taxpayer dollars away from the abortion industry, President Trump has reinstituted a life-affirming protection consistent with the political consensus that taxpayer dollars should not fund abortion and the abortion industry,' said Rep. Chris Smith (R-N.J.), who chairs the House Foreign Affairs global health subcommittee.
Organizations that work to prevent infectious disease and provide abortions and those that advocate for abortion rights warned that the policy would ultimately cost lives.
'The cost of reimposing this rule will be paid in hardship, human lives and a reversal of some of the most important gains in the HIV response,' said Beatriz Grinsztejn, president of the International AIDS Society. She argued the policy will cause 'severe disruption to health services, including HIV and reproductive and sexual health, particularly in areas of the world most affected by HIV.'
And so is the Geneva Consensus Declaration: The Trump administration Friday made another anti-abortion move on the global stage: The State Department informed signatories of the Geneva Consensus Declaration of the U.S. intent to rejoin immediately.
Background: The declaration, signed during the first Trump administration, was a joint initiative with Brazil, Egypt, Hungary, Indonesia, and Uganda. The coalition of countries sought to curb global access and support for abortions by stating that no international right to abortion exists, and thus countries don't have any obligation to finance or facilitate it.
Former President Joe Biden withdrew the U.S. from it when he took office. Brazil and Colombia have also since withdrawn from it, as progressive heads of state took over in both countries.
WHAT WE'RE READING
The New York Times reports on the reasons some vaccines contain aluminum.
The Washington Post reports on why Covid rates weren't as bad as expected this winter — but flu rates were worse.
The Atlantic's Faith Hill questions the narrative of the modern loneliness epidemic.
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CNN
21 minutes ago
- CNN
LA protesters and police in standoff as Trump doubles National Guard deployment
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Update: Date: 42 min ago Title: Thousands rally in San Francisco against ICE raids Content: Thousands of people marched through San Francisco's Civic Center and Mission neighborhoods on Monday night in protests that were 'overwhelmingly peaceful,' police said. Demonstrators rallied against Immigration and Customs Enforcement raids across the country and expressed solidarity with immigrant communities, CNN affiliate KGO reported. 'At the very end of the night, two small groups broke off and committed vandalism and other criminal acts,' the San Francisco Police Department said. Police said they detained multiple people who refused to comply with orders, made arrests, and are currently addressing one unresolved situation. 'I'm deeply concerned about what's going on in Los Angeles and all around the country. California, we are better because of our diversity, and for people to be torn away from school graduations, torn away from their children, that's not right. We have to come out here and tell people that's not right,' Holly Minch, who marched with a sign that read 'MELT ICE,' told KGO. The police said they coordinated with public safety agencies under the leadership of San Francisco Mayor Daniel Lurie to 'protect numerous First Amendment actions' in the affected neighborhoods. On Sunday, about 150 people, including some under the age of 18, were arrested near the Immigration Services building. Police said the arrests were made after protesters ignored dispersal orders and engaged in acts of violence and vandalism. Anti-ICE protests have popped up around the country, including in New York, Atlanta, Seattle, Dallas and Louisville. Update: Date: 57 min ago Title: Law enforcement helicopters have been circling above protests, flight tracker shows Content: Helicopters from the LAPD and Los Angeles County Sheriff's Department circled the areas of Boyle Heights and Little Tokyo throughout the day on Monday, according to data from Flightradar24. 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Toll on vulnerable communities: After being informed ICE agents were questioning workers at a Pasadena hotel, Pablo Alvarado, the co-executive director of the National Day Laborer Organizing Network, began calling for protests to protect vulnerable immigrant communities throughout the city. 'The Pasadena community showed up in large numbers and the message was loud and clear, we don't want to see your armored vehicles, men in masks coming to our communities to pick people up to rip families apart.' But, Alvarado added, he felt the violence that spread throughout the city in response to the raids was tainting their cause. Read the full story. Update: Date: 1 hr 23 min ago Title: Analysis: LA's crisis rests on what Trump does next Content: Donald Trump is talking and acting like an authoritarian as he escalates a constitutional clash with California over his migration crackdown. 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Yahoo
21 minutes ago
- Yahoo
Editorial: Misusing the National Guard — Trump's LA interference with local policing
Always looking to provoke a crisis, Donald Trump has federalized 2,000 soldiers of the California National Guard against the wishes of the state's governor to put down a rebellion in Los Angeles that doesn't exist. And Trump is acting counter to federal law in doing so, which is no surprise for him. After demonstrators gathered in L.A. to protest ICE raids, some idiots in the crowd threw rocks at the immigration law enforcement officers. That's a crime and is not free speech. But the president used the sporadic violence, which was quickly quelled, to overstep his legal authority. On Saturday, he issued a directive claiming: 'To the extent that protests or acts of violence directly inhibit the execution of the laws, they constitute a form of rebellion against the authority of the Government of the United States.' Then, latching on to his own word 'rebellion,' he invoked a federal statute, 10 U.S. Code § 12406, covering the National Guard. The law is brief. It says that 'Whenever 1) the United States is invaded or is in danger of invasion by a foreign nation; 2) there is a rebellion or danger of a rebellion against the authority of the Government of the United States; or 3) the President is unable with the regular forces to execute the laws of the United States; the President may call into Federal service members and units of the National Guard of any State in such numbers as he considers necessary to repel the invasion, suppress the rebellion, or execute those laws.' There's no invasion, there's no rebellion and ICE is able to carry out its functions. And there is no lawlessness in the streets of L.A. that can't be contained by the local L.A. County sheriff's department, which has almost 10,000 sworn and armed deputies and the LAPD, which has almost 9,000 sworn and armed cops. If those law enforcement professionals need help, California Gov. Gavin Newsom could activate the National Guard. But Newsom didn't call up the Guard for backup because the soldiers weren't needed. That Trump went around Newsom, who he 'cleverly' calls 'Newscum,' is something that hasn't been done in 60 years, when Lyndon Johnson federalized the Alabama National Guard in 1965 because segregationist Gov. George Wallace wouldn't protect civil rights demonstrators. There, Wallace was trying to defy the federal courts and the federal government. This is nothing like that. Trump says 'It's about law and order,' but he's the one who is going against the law and against regular order. And he's also talking about bringing in active duty Marines from nearby Camp Pendleton. That is also against the law, 18 U.S. Code § 1385. This statue is just a single sentence: 'Whoever, except in cases and under circumstances expressly authorized by the Constitution or Act of Congress, willfully uses any part of the Army, the Navy, the Marine Corps, the Air Force, or the Space Force as a posse comitatus or otherwise to execute the laws shall be fined under this title or imprisoned not more than two years, or both.' 'Posse comitatus,' or 'posse' for short, are non-law enforcement persons acting as such. The military cannot be so used on the word of even the president. Trump should relent and demobilize the Guardsmen he wrongly brought into L.A. and let local and state officials secure the streets. _____

Business Insider
31 minutes ago
- Business Insider
Uncle Elon's final report card
All good buddy comedies come to an end. For President Donald Trump and first friend "Uncle Elon" Musk, theirs wrapped up with the same explosive fanfare upon which it started. But now their shared enthusiasm for cutting government waste has morphed into animosity for each other so deep and personal that it's become a textbook case study in management gone wrong. In November, just after Trump's reelection, I asked management experts if Musk could mimic his track record of juicing everything he could out of his lean companies to make the government run more efficiently. They were reluctant to doubt Musk and his Department of Government Efficiency, but just as reluctant to think his efficiency tactics at Tesla and X meant he could single-handedly transform the government. I checked back in with some of them in March, six weeks into DOGE's chaotic tenure, after it dismantled USAID and axed tens of thousands of federal workers. They described his management as "clumsy," "wrongheaded," and full of "political recklessness." Now, the breakup of the bromance between two of the world's biggest, boldest personalities is surprising only in that it took so long to unfold and, once it did, moved with the speed that only two social media savvy, chronically online posters could propel. (Musk posted on X more than a dozen times lambasting Trump and his " Big Beautiful Bill" late last week, since deleting some of the most disparaging claims, and Trump suggested Musk might be suffering from "Trump derangement syndrome.") If DOGE is a cautionary tale in how not to manage, it's one from the furthest extreme, marked by a clash between the egos of two of the world's most powerful men that made politics extremely personal. Still there are business lessons to be gleaned even for those of us who run fewer than six companies and have fewer than 220 million social media followers. DOGE has proved "unsuccessful" up to this point, and is so far a "failed venture" for Musk and for the government, says Subodha Kumar, a professor at Temple University's Fox School of Business. It brought "disruption, a lot of delays, a lot of mistrust, and a lot of good people have left the organization," he says. "This kind of damage takes a long time to repair." To date, DOGE has claimed it found $180 billion in savings (Musk in May called DOGE "effective," but "not as effective as I'd like," as the original goal was to save $2 trillion). An analysis in April from nonpartisan research group Partnership for Public Service found that the department's actions could cost as much as $135 billion, an estimate of the costs of the firings, re-hirings, and lost productivity. Meanwhile, the four months Musk spent working taking a chainsaw to the federal government are wrapping up doused in drama that has spilled over to his other companies. After his 130-day post as a special government employee ends, Musk is pointing the blame for government waste back on Trump, skewering the spending bill for being too big and ugly, and endorsing a call to impeach Trump and replace him with Vice President JD Vance (that post has since been deleted). The lesson here is akin to that of two mob bosses of the gangster world who both crave the superior distinction of being the number one boss. Jeffrey Sonnenfeld, a Yale School of Management leadership professor The escalating tension is just the beginning of a fight that could get worse for Musk, and likely has little benefit for Trump, Jeffrey Sonnenfeld, a Yale School of Management leadership professor who has studied Trump for decades and advised presidents, tells me in an email. DOGE, he notes, overpromised savings and may actually cost US taxpayers more when it comes to rehiring costs, repairing systems, and weakened cybersecurity. As WIRED reported last week, DOGE is hiring, and even has reached out to technologists who formerly worked for the government. Musk's involvement with the DOGE proved tumultuous for his businesses from the start. His personal wealth ballooned by some $200 billion in 2024, surpassing $400 billion after Election Day. Once he got to work in the White House, his absenteeism from his companies — paired with a growing distaste for DOGE's actions among the electorate and protests targeting Tesla — led his net worth to drop alongside Tesla's market cap. Last Thursday, Musk's open beef with Trump further hampered his wealth, leading the Tesla CEO to lose $34 billion personally in a single day. Tesla stock, which has taken a beating as people turn on the company to protest Musk's government work, took its biggest tumble since March, closing 14% lower and wiping out $152 billion from the company's market cap. Musk is still the richest person in the world. For Musk, there's damage to the Tesla brand in need of repair. His next step could be "to portray himself as a purist who came in to offer his technical help and didn't realize how deep the corruption runs," says Michael Morris, a professor at Columbia Business School. "Musk could potentially portray himself as a wayward son of the tech industry." This might only work if the Trump administration continues to stumble, and if Musk also sees more success, like winning big with his robotaxi push. As Taylor Lorenz reported in User Mag Friday, some high-profile Democrats are already signaling that they would welcome Musk back into the fold. Trump over the weekend told NBC News Musk would face "serious consequences" if he donated to Democratic candidates (he did not specify what they would be). It's yet to be seen where Musk will find his next political alliances: On Friday, he ran a poll on X asking if a third political party should emerge to include the 80% of Americans in the middle of Republicans and Democrats, as he sees it. The president has threatened to go after Musk's government contracts — which total in tens of billions of dollars for SpaceX and Tesla. "The easiest way to save money in our Budget, Billions and Billions of Dollars, is to terminate Elon's Governmental Subsidies and Contracts," Trump wrote on Truth Social. "Elon was 'wearing thin,' I asked him to leave, I took away his EV Mandate that forced everyone to buy Electric Cars that nobody else wanted (that he knew for months I was going to do!), and he just went CRAZY!" Trump himself bought a Tesla just three months ago, and is now considering selling it. (Best of luck to him, the cars' resale values have tanked). As Trump and Musk part ways, it's clear that Musk's brazen, fully autonomous leadership style didn't work in the government world, as it eschewed transparency and collaboration in favor of a top-down approach. "The one-size-fits-all policy does not work everywhere," says Kumar. "You have to understand the culture of the organization and you have to work from inside rather than from outside." Back in November, experts told me it wasn't clear what authority Musk would actually wield in the newly-created position to implement massive spending cuts. Trying to employ tech-world leadership tactics from the White House created a rivalry between Musk and Trump for power and control, undercutting the alliance between the two and leaving DOGE far short of its savings goals. "The lesson here is akin to that of two mob bosses of the gangster world who both crave the superior distinction of being the number one boss — with surging parallel drives for grandiosity," Sonnenfeld says. "Musk's tragic mistake was that he forgot his role — as a staffer and advisor to Trump, not the primary character he foolishly believed himself to be, and even now, continues to overestimate his own importance and indispensability."