The U.S. Department of Health and Human Services (HHS) is set to undergo a transformative restructuring that will significantly reduce its workforce and consolidate multiple agencies. This plan will cut approximately 10,000 full-time employees, complementing an earlier voluntary separation that saw about 10,000 employees leave, effectively reducing the department's workforce by a quarter.

The job cuts will impact critical health agencies, including:

• Food and Drug Administration: 3,500 employees (19% of workforce)

• Centers for Disease Control and Prevention: 2,400 workers (18% of staff)

• National Institutes of Health: 1,200 employees (6% of workforce)

• Centers for Medicare and Medicaid Services: 300 workers (4% of employees)

Kennedy articulated the rationale behind the restructuring: "We aren't just reducing bureaucratic sprawl. We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic."

The restructuring involves consolidating 28 current divisions into 15 new ones, including a new Administration for a Healthy America. This new subdivision will combine offices addressing addiction, toxic substances, mental health, and occupational safety into a centralized unit.

Critics have raised concerns about the potential impact on public health services. Senator Ron Wyden warned that "American families are going to be hurt by layoffs and closures of this magnitude, full stop." Larry Levitt from KFF noted that the cuts could lead to longer wait times and potential gaps in government health services.

The restructuring comes at a critical time, with the U.S. facing significant public health challenges, including a severe measles outbreak and ongoing concerns about bird flu. The department claims the reorganization will save approximately $1.8 billion annually, representing a significant potential cost reduction for taxpayers.

Kennedy's approach reflects his campaign promises to address what he calls "corporate corruption" in federal health agencies. His "Make America Healthy Again" platform emphasizes a shift towards preventive health measures and nutritional approaches to addressing chronic diseases.

As the restructuring moves forward, questions remain about its potential long-term impact on the nation's healthcare infrastructure and public health capabilities.

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