Donald Trump’s budget plan proposes a significant reduction in funding for the Centers for Disease Control and Prevention (CDC), cutting it by 53%. According to reports, 61 programs might be eliminated, affecting disease prevention and risking more chronic illnesses.
Joseph Kanter, from the Association of State and Territorial Health Officials (ASTHO), emphasized the importance of CDC funding for community health. “We cannot afford these losses,” he stated. These cuts follow a trend, as over $12 billion has already been slashed from public health budgets under the Trump administration. As a result, local health programs are facing closures due to delayed funding, and more than 20,000 health agency employees have lost their jobs recently.
Lori Tremmel Freeman, of the National Association of County and City Health Officials, noted that these budget issues pose severe risks to chronic disease prevention efforts. The CDC’s funding is critical, with about 80% supporting state and local health departments. J. Nadine Gracia, leading the Trust for America’s Health, pointed out that cuts to federal funding directly impact state and local public health budgets.
In a briefing, Gracia highlighted that this year’s funding report is alarming, considering the drastic changes in health policy and funding priorities. The proposed budget would eliminate programs focusing on cancer, diabetes, HIV/AIDS, and mental health services. The emphasis on emergency preparedness would also drop significantly, threatening the country’s ability to respond effectively to public health emergencies.
Kanter recalled relying on CDC expertise during outbreaks to effectively manage public health issues in New Orleans. He expressed concern that current public health professionals are struggling to keep up with new challenges under the administration.
Statistics show that the U.S. spends around $4.9 trillion annually on healthcare, with a staggering 90% directed toward chronic and mental health conditions. Public health initiatives aim to prevent and manage these issues efficiently and economically. Freeman stressed that a robust prevention system is essential to avoid overwhelming hospitals.
Gracia warned of a potential decline in life expectancy, especially affecting rural and marginalized communities. Programs like substance use services, funded mostly through the CDC, show fragile progress; overdose deaths had recently dropped by nearly 27%, a trend now at risk.
As the U.S. prepares for the FIFA World Cup in 2026, public health officials are on alert for possible outbreaks. However, the current funding cuts have already diminished the CDC’s capacity to track global health threats effectively.
Recent discussions in the U.S. Congress reveal a contrast between the House and Senate regarding CDC funding cuts. While the House suggested a $1.7 billion reduction, the Senate has proposed less severe cuts, potentially restoring funding to closer previous levels.
Kanter believes that public health work is generally unrecognized until it becomes necessary. There are many dedicated professionals in public health who strive every day to improve lives. Their efforts may be at risk without adequate funding and support.
In summary, ongoing budget cuts to the CDC may have long-term consequences on public health in the U.S. and require renewed attention and advocacy to safeguard community health.
For further details, you can explore the recent TFAH report here and review the Senate appropriations committee’s proposed funding adjustments here.