In the first weeks of his administration, few voters hoped President Donald Trump would cut billions of dollars from the country’s best federal cancer research institutions.
However, funding cuts to the National Institutes of Health were booked in Project 2025’s “Leadership Delegation.” This is a conservative plan that Trump said he doesn’t know anything during his campaign. Now his administration is accepting it.
The 922-page playbook, edited by Washington’s conservative research group, Heritage Foundation, said “we should break the NIH monopoly on research supervision,” and concluded that to close the payments to the university and its hospitals, the “Left wing.” It helps reduce federal taxpayer subsidies on the Agenda.”
University currently facing drastic cuts in agency grants covering these overhead costs say that policies will destroy ongoing and future biomedical sciences. A federal judge temporarily suspended cuts in medical research on February 10 after drawing legal challenges from medical institutions and 22 states.
Project 2025 as a prologue
The rapid adoption of many of the Project 2025 goals has led to Trump’s Acolite (many of its contributors were his first term veterans and joined his second administration) disrupting the national health system It shows that they have quietly laid the foundation for years to make them. . That goes against Trump’s claims about the campaign path that he is ignorant of documents after Democrats put Project 2025 into a strong offensive line.
“I don’t know what Project 2025 is,” Trump said at a rally in Albuquerque, New Mexico on October 31. “I’ve never read it, and I’ll never.”
However, because his administration is so closely driven by the playbook that compiled the Heritage Foundation, opposition groups and Democrat leaders in some states would say they would fight Trump’s move in court. They say they can act quickly.
They are now preparing Trump to act on some of the nation’s largest and most important health programs, including Medicaid and Medicare, as well as project 2025 recommendations for federal health agencies.
“There were many plans on the litigation side to challenge executive orders and other early actions from many different organizations,” said Watchdog Group’s Citizens President for Washington’s responsibility and ethics. Noah Bookbinder said. “Project 2025 has allowed some preparation.”
For example, the plan involves the flexibility of states to impose several beneficiaries, labor requirements, lifetime caps or lifetime caps or time limits, and enrollment of some programs for low-income and disabled Americans. We are seeking a time limit for Medicaid compensation for those. The number of uninsured post-Biden administration has significantly increased program coverage.
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“These proposals do not directly alter eligibility for Medicaid or the benefits offered, but the ultimate effect is less people with health insurance,” says Health from health information nonprofits, including KFF Health. said Larry Levitt, Executive Vice President of Policy. news. “Setting barriers to those who register with Medicaid, such as documenting premiums and job status, will result in coverage rationing through complexity and ability to pay.”
Congressional Republicans are thinking of a budget plan that could potentially trim hundreds of billions of dollars from Medicaid over a decade.
Project 2025 called for increased access to health plans that do not comply with the most powerful consumer protections of the Affordable Care Act. It could reduce buyer choice and monthly premiums more, but unfamiliar consumers could face potentially large out-of-pocket costs due to care that the plan doesn’t cover .
Project 2025 called for the suspension of Medicaid funding for Planned Parenthood Affiliates. A key healthcare provider for women across the country, the organization has earned around $700 million a year from Medicaid and other government programs, based on a report from 2022-23. Abortions account for about 4% of the services the organization has provided to patients, the report said.
The administration’s procedures to scrub words such as “fair” from federal documents, erase international medical aid, which is part of all of the Project 2025 wish list, and steps to reduce international medical aid have already flown, It avoids access to healthcare, access to hobbs, and international programs. We aim to prevent illness and improve maternal health outcomes.
For example, under a memorandum issued in January, Trump reinstated and expanded the federal funding ban on global organizations that provide legal information about abortions.
Research shows that the ban, known as the “Global Gag Rules” or “Mexico City Policy,” stripped millions of dollars from foreign aid groups that did not comply with it. It also had a calm effect. In Zambia, one group deleted information in a birth control pamphlet, and in Turkey, they stopped talking to patients about menstrual regulations as a form of family planning.
Project 2025 called on the next president to revive the GAG rules, saying “it needs to be drafted widely to apply to all foreign aid.”
Trump has also signed an executive order that unfolds transgender rights by banning federal funds for transition-related care for people under the age of 19. “In place of “gender.”
The Project 2025 document removes the term “gender identity” from federal rules, regulations and grants, and the policy that the authors will use to advance “radical redefine the sex.” You are required to unlock the steps. Additionally, the Department of Health and Human Services programme states that “there is a need to protect the mind and body of children.”
“Extreme actors within and outside the government are promoting harmful identity politics that replace biological gender with subjective concepts of “gender identity,” reads the Project 2025 roadmap.
Data will disappear
Health researchers say that as a result of Trump’s order on gender identity, the Centers for Disease Control and Prevention has deleted online information on transgender health and data on LGBTQ+ health. On February 11, a federal judge ordered much of the information to be restored. The administration has added notifications to several web pages that have been labeled “very inaccurate” and claimed to be “not reflecting biological reality.”
The CDC also delayed the release of information and findings on avian influenza in weekly reports of institutional morbidity and mortality. Federal workers say they have been told to withdraw papers that contain terms such as “non-binary” and “transgender.” Additionally, some hospitals have stopped gender maintenance care, including hormone therapy and adolescent blockers for young people.
Advocacy groups say the order discriminates and poses barriers to medically necessary care, and transgender children and their families have filed numerous court assignments.
Lawyers, advocates and researchers say the implementation of many of the health policy goals for Project 2025 poses a threat.
“The playbook presents an anti-knowledge, debris and prevention medicine agenda,” according to a last year’s work by researchers at Boston University in Jama.
Project 2025 Blueprint sets goals to curb access to medication abortion, restructure public health agencies, and undermine protections against gender-based discrimination. By privatizing health programs for the elderly, you can register by default with Medicare Advantage plans run by commercial insurance companies. And insurance experts say they are asking people to eliminate the coverage requirements for affordable care law plans that they buy without federal subsidies.
“That’s on the Trump administration’s agenda,” said Robert Weissman, co-chairman of Civils, a progressive consumer rights advocacy group. “It’s minimizing access to care by rolling back consumer protection and subsidies in Medicaid’s strict work requirements, Medicare privatization, and Affordable Care Act.”
The White House did not respond to a message seeking comment. Conservatives say the implementation of the project’s proposal will curb the waste and fraud of the free health system from the clutches of the federal health program and the radical “wake” agenda.
“Americans are tired of their government being used against them,” lawyer and former director of Project 2025 Paul Dance said in a statement last year. “The administrative state is at best not in full contact with the American people, and at worst, weaponized against them.”
DANS did not reply to a message seeking comment on this article.
The Heritage Foundation has attempted to separate 2025 from Trump’s executive order and other health initiatives.
“This is not a recommendation for Project 2025. It’s something we’ve been doing for over 40 years. This is what President Trump promises to make America safer, stronger and better than ever. “It’s about offering him and his team deserves credit,” Heritage spokesman Ellen Keenan said in a statement.
Versions of the document have been created about every four years since the 1980s and have influenced other GOP presidents. Former President Ronald Reagan adopted about two-thirds of the recommendations from his previous heritage guide, the group said.
In some cases, the Trump administration has not only followed Project 2025 proposals, but has surpassed them.
The document called on the next president to “derail” by reducing and “derailing” the U.S. International Development Agency, an independent federal agency that provides foreign aid and support, including many international health programs. The administration has not only reduced the USAID. Trump adviser Elon Musk boasted on his social media platform X. His “government efficiency” provided agents to “Wood Chipper,” physically closing offices, leaving almost all staff on administrative leave while ending funding for the program. Spread misinformation about them.
However, if the administration adopts the project’s goal of overturning US healthcare and health policies, it risks eroding public support. Almost 60% of voters said they felt negative about Project 2025 in a September poll by NBC News.
“Project 2025 was never a thought exercise. Ally Bogun, spokesman for Reproductive Freedom for All, an abortion rights organization, said: “We have been from his presidency. It’s only been a few weeks. It’s even more foundational.”
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KFF Health News is a national newsroom that produces detailed journalism on health issues.
