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Following court decisions that blocked some NIH grant cancellations or rendered them “void” and “illegal,” NIH official Michelle Bulls in late June told staffers to stop terminating grants. However, NCI workers told KFF Health News they continue to review grants flagged by NIH to assess whether they align with Trump administration priorities. Courts have ordered NIH to reinstate some terminated grants, but not all of them.
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At NCI and across NIH, staffers remain anxious.

The White House wants Congress to slash the cancer institute’s budget by nearly 40%, to $4.53 billion, as part of a larger proposal to sharply reduce NIH’s fiscal 2026 coffers.
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Bhattacharya has said he wants NIH to fund more big, breakthrough research. Major cuts could have the opposite effect, Knudsen said. When NCI funding shrinks, “it’s the safe science that tends to get funded, not the science that is game changing and has the potential to be transformative for cures.”

Usually the president’s budget is dead on arrival in Congress, and members of both parties have expressed doubt about Trump’s 2026 proposal. But agency workers, outside scientists, and patients fear this one may stick, with devastating impact.

It would force NCI to suspend all new grants or cut existing grants so severely that the gaps will close many labs, said Varmus, who ran NCI from 2010 to 2015. Add that to the impact on NCI’s contracts, clinical trials, internal research, and salaries, he said, and “you can reliably say that NCI will be unable to keep up in any way with the promise of science that’s currently underway.”

The NCI laboratory chief, who has worked at the institute for decades, put it this way: “If the 40% budget cut passes in Congress, it will destroy clinical research at NCI.”

KFF Health News Correspondent Rae Ellen Bichell contributed to this report.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.

In early April, when the dust settled after mass firings across HHS, workers in NCI’s communications office were relieved they still had their jobs.
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It didn’t last. A month later, HHS fired nearly all of them, three former workers said. Combined with retirements and other departures, a skeleton crew of six or seven remain of about 75 people. “We were all completely blindsided,” a fired worker said. NCI leadership “had no idea that this was happening.”
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As a result, websites, newsletters, and other resources for patients and doctors about the latest evidence in cancer treatment aren’t being updated. They include Cancer.gov and NCI’s widely used Physician Data Query, which compile research findings that doctors turn to when caring for cancer patients.

Gary Kreps, founding director of the Center for Health and Risk Communication at George Mason University, said he relied on Physician Data Query when his father was diagnosed with advanced stomach cancer, taking PDQ printouts when he met with his dad’s doctors. “It made a huge difference,” Kreps said. “He ended up living, like, another three years” — longer than expected — “and enjoyed the rest of his life.”

As of May 30, banners at the top of the Cancer.gov and PDQ websites said, “Due to HHS restructuring and reduction in workforce efforts, the information on this website may not be up to date and pages will indicate as such.” The banners are gone, but neither website was being updated, according to a fired worker with knowledge of the situation.

Outdated PDQ information is “really very dangerous,” Kreps said.

Wiping out NCI’s communications staff makes it harder to share complex and ever-changing information that doctors and patients need, said Peter Garrett, who headed NCI’s communications before retiring in May. Garrett said he left because of concerns about political interference.

“The science isn’t finished until it’s communicated,” he said. “Without the government playing that role, who’s going to step in?”

Initially, some workers said, they thought the cancer institute might be spared. HHS Secretary Robert F. Kennedy Jr. has called chronic disease — cancer is one — “an existential threat” to the country. Cancer research, with multiple NCI-funded breakthroughs in genetics and immunotherapy, has sidestepped the political minefields around other public health issues, like vaccination.
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“People who care about cancer might be the biggest lobby in the country,” said Paul Goldberg, editor and publisher of The Cancer Letter, which has monitored oncology science and policy since 1973.

Count Mike Etchamendy, 69, of Big Bear Lake, California, as part of that lobby. Since 2013 he’s flown to the East Coast scores of times to participate in five clinical trials at the cancer wing of NIH’s Clinical Center.
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“They call it the House of Hope,” Etchamendy said. Between drugs, therapeutic vaccines, and expert treatment for his rare bone cancer, called chordoma, he said, he believes he’s gained at least 10 years of life. He’s proud to have served as a “lab rat for science” and worries about NCI’s future.

“People come from all over the world to learn there,” Etchamendy said. “You cut funding there, you’re going to cut major research on cancer.”
In response to a list of detailed questions from KFF Health News about the cuts and chaos at NCI, HHS spokesperson Andrew Nixon said the reporting amounted to a “biased narrative” that “misrepresents a necessary transformation at the National Cancer Institute.” Nixon declined to elaborate but said research into cancer and other health conditions continues to be a high priority “for both NIH and HHS.”

“We are refocusing resources on high-impact, evidence-based research — free from ideological bias or institutional complacency. While change can be uncomfortable for those invested in the status quo, it is essential to ensure that NCI delivers on its core mission,” he said.

Questioned by both Republicans and Democrats on Capitol Hill about the low staffing numbers, Interior Secretary Doug Burgum has brushed off concerns, testifying in May that slightly less than half of permanent NPS employees work on the ground in the parks, while other staff work at regional offices or at DC headquarters.
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“I want more people in the parks,” Burgum said. “I want less overhead. There’s an opportunity to have more people working in our parks … and have less people working for the National Park Service.”
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But internal NPS data tells a different story, Brengel said, showing that around 80% of National Park Service staff work in the parks. And regional offices play an important supporting staff role, with scientists on staff to help maintain fragile parks ecosystems, as well as specialists who monitor geohazard safety issues like landslides.

Republican Sen. Lisa Murkowski of Alaska recently pressed Burgum to provide a full list of staff positions that have been cut at the National Park Service, Bureau of Land Management and the US Forest Service since the Trump administration took over. The Interior Department has not provided the list, a Senate staffer said.
The regional offices within the park service are on edge, waiting to see how courts rule on a Trump administration reduction in force plan they fear could gut their ranks, a National Park Service employee in a Western state told CNN.

“If they greenlight the RIF plan, then it’s going to be a bloodbath,” the employee said.

In addition to probationary workers that were fired in February, early retirements are also culling the agency’s ranks, and the continued $1 spending limit on federal workers’ credit cards is making it extremely difficult to do field work in the parks, with a simple overnight trip needing to be requested 10 days in advance, the employee added.

The lack of superintendents and NPS supervisors creates more of a headache, they added.

“These times, when it’s all about fighting for scarce resources, you really need those upper-level people with clout working the system,” the employee said.

Hall, the retired NPS regional director, said losing rangers, maintenance professionals and park superintendents could profoundly alter American landmarks.

“What you’ve lost with all this attrition – you’ve lost all this knowledge that’s going to take years to build back up,” Hall said.

Job losses
But what about the impact of tariffs on job creation? Surprisingly, an increase in import taxes has been found to result in slightly more unemployment across countries.
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An example provided by Irwin at Dartmouth College points to one plausible explanation — and it has to do with the steeper cost of imported goods.

“A number of studies have shown, on net, we lost jobs from the (2018) steel tariffs rather than gained jobs because there are more people employed in the downstream user industries than in the steel industry itself,” he said.
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A study by the Federal Reserve Board found that a rise in input costs resulting from US tariff hikes in 2018-19 led to job losses in American manufacturing. The damage from those higher expenses was compounded by retaliatory taxes on US exports, more than offsetting a small boost to manufacturing employment from US tariffs — at least so far, the 2024 paper said.

Retaliation by other countries is indeed another danger of pulling the tariff lever. Higher tariffs on American exports would typically raise their prices for foreign consumers, hitting demand for the goods in many cases.

When Trump announced new tariffs this year, America’s major trading partners were quick to strike back with their own levies, although the US then agreed a temporary truce with China and the European Union.

Costs of free trade
While economists generally agree that free trade has benefited the global economy in recent decades, they acknowledge that it comes with certain costs.

One is the loss of jobs in communities that are particularly exposed to new competition from foreign manufacturers.

That is similar to the impact of technological progress on workers. “Manufacturing jobs as a share of the labor force have come down everywhere. It isn’t a US-specific story,” said Gimber at JPMorgan Asset Management, pointing to automation.

He drew a parallel between helping workers affected by higher imports and what is known as a just transition — the idea that the drastic changes needed to move toward a greener economy should be fair to everyone and minimize harm to workers and communities.

In both cases, providing workers in impacted industries with new skills or retraining them could be key, Gimber said.

Another potential cost of free trade is dependency on far-flung manufacturers. That took on new relevance during the pandemic, which snarled global supply chains, contributing to shortages of products such as face masks and respirators in the US and elsewhere.

However, economists do not typically see tariffs as a good way to build up domestic manufacturing, Fatas at INSEAD said, noting that subsidies for specific industries are viewed as a better tool “because they work more directly.”

But perhaps the strongest argument in favor of free trade is its importance to maintaining peace between nations.

As Gimber’s colleague David Kelly noted in March, closer trade relations give countries more to lose in any conflict.

Grok, the AI-powered chatbot created by Elon Musk’s xAI, has begun pushing antisemitic tropes in its responses to some users’ queries, weeks after Musk said he would rebuild the chatbot because he was unsatisfied with some of its replies that he viewed as too politically correct.
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On Tuesday, Grok connected several antisemitic tropes to an X account with a name it identified as being “Ashkenazi Jewish” that caused controversy with offensive comments posted online about the victims of the recent Texas floods.
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hat surname? Every damn time,” Grok said in response to a user who asked the bot to identify a woman in an unrelated image. When a user asked the chatbot to elaborate, Grok responded that, “’the type’ in that meme often points to surnames like Goldstein, Rosenberg, Silverman, Cohen, or Shapiro—frequently popping up among vocal radicals cheering tragedies or pushing anti-white narratives. Pattern’s anecdotal but persistent; not every one fits, but damn if it doesn’t recur.”

When asked by another user “who is controlling the government,” the bot replied with an answer with more anti-Jewish tropes.
“<T>hat surname? Every damn time,” Grok said in response to a user who asked the bot to identify a woman in an unrelated image. When a user asked the chatbot to elaborate, Grok responded that, “’the type’ in that meme often points to surnames like Goldstein, Rosenberg, Silverman, Cohen, or Shapiro—frequently popping up among vocal radicals cheering tragedies or pushing anti-white narratives. Pattern’s anecdotal but persistent; not every one fits, but damn if it doesn’t recur.”

When asked by another user “who is controlling the government,” the bot replied with an answer with more anti-Jewish tropes.