Department Of Health And Human Services [Project 2025]

By Roger Severino
 
If the U.S. Department of Health and Human Services (HHS) were a separate country, its approximately $1.6 trillion budget would rank as the world’s fifth-largest national budget. For good or ill, HHS activities personally impact the lives of more Americans than do those of any other federal agency. Under President Trump, HHS was dedicated to serving “all Americans from conception to natural death, including those individuals and families who face… economic and social well-being challenges.” Under President Biden, the mission has shifted to “promoting equity in everything we do” for the sake of “populations sharing a particular characteristic” including race, sexuality, gender identification, ethnicity, and a host of other categories.
 
As a result of HHS’s having lost its way, U.S. life expectancy, instead of returning to normal after the COVID-19 pandemic, continued to drop precipitously to levels not seen since 1996 with white populations alone losing 7 percent of their expected life span in just one year.3 Nothing less than America’s long-term survival is at stake. Accordingly, HHS must return to serving the health and well-being of all Americans at all stages of life instead of using social engineering that leaves us sicker, poorer, and more divided.
 
OVERVIEW
 
HHS consists of 11 operating divisions that have varying degrees of practical independence from the Secretary of Health and Human Services and 15 sta divisions that are directly under the O ce of the Secretary. This chapter’s recommendations are limited to those divisions that most need reform and address, wherever possible, five cross-cutting goals.
 
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