Donald Trump

Since my Internet Archive indexes of both CDC.gov and FDA.gov seem to have gotten a lot of positive responses, I'm following up by tackling a much larger federal healthcare department website: The Centers for Medicare & Medicaid Services (CMS).

Unlike the FDA's website, which has around ~5,800 public-facing pages, or the CDC's site which has ~7,200, CMS.gov has a whopping ~75,000 pages.

Needless to say, it's going to take some time to index them all, so bear with me.

So far I have every page starting with A - MD.

No, I don't plan on posting every press release issued by the Centers for Medicare & Medicaid Services during the Musk/Trump Regime any more than I did under previous adminstrations, but this one attempts to directly address the single biggest Constitutional crisis going on at this very moment.

Here's what the press release claims verbatim (under the heading "Leadership"):

Feb 05, 2025

CMS Statement on Collaboration with DOGE

CMS has two senior Agency veterans – one focused on policy and one focused on operations – who are leading the collaboration with DOGE, including ensuring appropriate access to CMS systems and technology. We are taking a thoughtful approach to see where there may be opportunities for more effective and efficient use of resources in line with meeting the goals of President Trump.

Earlier this week I gained a lot of attention for generating (with the help of others) an index of the entire CDC.gov website, with direct links to all ~7,200 pages archived by the Internet Archive on or before 1/27/25.

At the time, I was scrambling to slap together something in light of the news that the Musk/Trump Regime had begun purging thousands of pages of critical public health information from federal websites, so I wasn't very sophisticated about how I did it: I simply broke all ~7,200 links into chunks of 500 apiece and pasted them into 15 pages.

A few days later we did something similar with FDA.gov, except this time I took the time to set it up with a drop-down menu with each page covering a different major topic.

As a follow-up to my index of links to archived versions of every CDC.gov page available prior to the Musk/Trump purge, I (with the help of others) have created a similar index of direct links to the Internet Archive's most recent mirrored versions of every public-facing web page on the Food & Drug Administration's website (FDA.Gov) prior to content being purged.

At least...as far as I know...the links are from on or shortly before January 27, 2025. It's possible that they were already tinkering with and/or deleting pages/data prior to then.

I've significantly improved the interface for the FDA links: Instead of simply lumping all the links together, 500 to a page the way I did for the CDC, this time I've broken all of the links out into major topics as well as creating a drop-down menu for the topics to make it easier to navigate. 

 

11/14/24, via Politico:

Trump expected to select Robert F. Kennedy Jr. to lead HHS

President-elect Donald Trump is expected to nominate former presidential candidate and anti-vaccine activist Robert F. Kennedy Jr. to lead the Department of Health and Human Services, according to a person with direct knowledge of the selection.

The expected pick, which will roil many public health experts, comes after Trump promised to let Kennedy “go wild” with health and food policy in his administration after Kennedy dropped his own presidential bid to endorse the now-president-elect. It’s also a sign of the opening Trump sees after he scored a decisive electoral victory and Republicans won a comfortable majority in the Senate.

Trump could still select someone else for the post. The Trump transition couldn’t immediately be reached for comment.

“He’s going to help make America healthy again. … He wants to do some things, and we’re going to let him get to it,” Trump said in his victory speech. “Go have a good time, Bobby.”

via Stat:

A flurry of scientific gatherings and panels across federal science agencies were canceled on Wednesday, at a time of heightened sensitivity about how the Trump administration will shift the agencies’ policies and day-to-day affairs. 

Several meetings of National Institutes of Health study sections, which review applications for fellowships and grants, were canceled without being rescheduled, according to agency notices reviewed by STAT. A Feb. 20-21 meeting of the National Vaccine Advisory Committee, a panel that advises the leadership of the Department of Health and Human Services on vaccine policy, was also canceled. So was a meeting of the Presidential Advisory Council for Combating Antibiotic-Resistant Bacteria that was scheduled for Jan. 28 and 29.

The scope of the cancellations was unclear. It was also unclear whether they were related to the Trump administration’s freeze on external communications until Feb. 1.

On his first day in office, Donald Trump issued dozens of Executive Orders. Some of these are mostly symbolic; some won't have any effect without legislative action; some are blatantly unconstitutional & are already being challenged in court. Many, however, are terrifying and will have horrific consequences for thousands or potentially millions of Americans and non-Americans alike.

I already noted that one such order would withdraw the United States from the World Health Organization, which we curently provide 20% of the funding for.

Along with issuing his own new ones, Trump has also already rescinded over 60 XOs issued by President Biden. In this post I'm going to focus on three of them which pertain specifically to healthcare policy.

Again, all three of the following have now been RESCINDED BY DONALD TRUMP:

via Connect for Health Colorado:

Our Work Continues Post-Election

I want to acknowledge the questions about the future of health policy since Tuesday’s election.

We’ve successfully navigated periods of uncertainty like this several times in the past, including eight years ago, and we didn’t do it alone. You, our customers, stakeholders, and partners, make it possible to move forward together.

There are several things that we know.

The Affordable Care Act is still the law of the land.

Senate Bill 11-200, the state law that created Connect for Health Colorado, is still the law of the state. There are several other important state laws that ensure quality, affordable, and comprehensive health coverage for Coloradans.

There are significant savings available to customers who enroll through the Marketplace for Plan Year 2025.

 

You'll have to forgive me my poor metaphor below, but it's the best I can think of at the moment. I've been awake for 29 hours straight now, as I woke up at 5am yesterday for a 15-hour shift as a poll worker in Pontiac, Michigan, and, like many of you I'm sure, I was unable to sleep at all last night. I just got off a devastating phone call with my son who's a freshman in college who doesn't understand why what just happened...happened.

There's going to be a mountain of digital & physical ink spilled and a cacophony of talking heads on the Sunday morning shows yapping about What Went Wrong, yadda yadda yadda. Most of it will be bullshit. Some of it will be accurate.

Since writing about healthcare is my thing, and writing about the ACA specifically is very much in my wheelhouse, I'm going to put my take on this into healthcare risk pool terms. Besides, assuming the GOP also keeps control of the House, the ACA is likely gone (and even if they don't, it's about to be radically gutted via regulatory actions anyway), so I might as well.

I've spent the past couple of weeks up to my ears in 2025 annual healthcare policy rate filing analysis, so I haven't gotten around to addressing JD Vance's recent appearance on NBC in which he finally explained exactly what Donald Trump's "concept of a plan" for healthcare is:

When Donald Trump stammered at the recent presidential debate that he had “concepts of a plan” for Americans’ health care, he came across like a child who had forgotten his homework. But thanks to his campaign and his running mate JD Vance, we know now the Republican ticket really does have some “concepts.” Those concepts are bringing health care into the election — and presenting a tremendous opportunity to Vice President Kamala Harris.

Last Sunday, Vance raised the eyebrows of anyone familiar with health care policy when he told NBC’s Kristen Welker about Trump’s “deregulatory agenda.”

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