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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Outdated PDQ information is “really very dangerous,” Kreps said.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?”
The Trump administration’s broadsides against scientific research have caused unprecedented upheaval at the National Cancer Institute, the storied federal government research hub that has spearheaded advances against the disease for decades.
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NCI, which has long benefited from enthusiastic bipartisan support, now faces an exodus of clinicians, scientists, and other staffers, some fired, others leaving in exasperation.
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After years of accelerating progress that has reduced cancer deaths by a third since the 1990s, the institute has terminated funds nationwide for research to fight the disease, expand care, and train new oncologists. “We use the word ‘drone attack’ now regularly,” one worker said of grant terminations. “It just happens from above.”
The assault could well result in a perceptible slowing of progress in the fight against cancer.
Nearly 2 million Americans are diagnosed with malignancies every year. In 2023, cancer killed more than 613,000 people, making it the second leading cause of death after heart disease. But the cancer fight has also made enormous progress. Cancer mortality in the U.S. has fallen by 34% since 1991, according to the American Cancer Society. There are roughly 18 million cancer survivors in the country.
That trend “we can very, very closely tie to the enhanced investment in cancer science by the U.S. government,” said Karen Knudsen, CEO of the Parker Institute for Cancer Immunotherapy and a globally recognized expert on prostate cancer.
This article is based on interviews with nearly two dozen current and former NCI employees, academic researchers, scientists, and patients. KFF Health News agreed not to name some government workers because they are not authorized to speak to the news media and fear retaliation.
“It’s horrible. It’s a crap show. It really, really is,” said an NCI laboratory chief who has worked at the institute for three decades. He’s lost six of the 30 people in his lab this year: four scientists, a secretary, and an administrator.
Full-time staff numbers are down, too; as of June, the parks service had 12,600 full-time employees, which is 24% fewer staff than they had at the beginning of the year.
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That’s the lowest staffing level in over 20 years, according to Kristen Brengel, senior vice president of government affairs at the National Parks Conservation Association.
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Some parks, including Yellowstone, have increased their staff this year. But with low staffing levels at other parks unlikely to meaningfully improve this year, Kym Hall, a former NPS regional director and park superintendent, told CNN she worries park rangers and other staff could hit a breaking point later this summer.
“By mid-August, you’re going to have staff that is so burned out,” Hall said. “Somebody is going to make a mistake, somebody is going to get hurt. Or you’re going to see visitors engaging with wildlife in a way that they shouldn’t, because there aren’t enough people out in the parks to say, ‘do not get that close to a grizzly bear that’s on the side of the road; that’s a terrible idea.’”
The National Park Service did not respond to CNN’s request for comment on its staffing levels.
Meanwhile, visitors are arriving in droves. Last year set a new record for recreation visits at nearly 332 million, smashing the previous record set in 2016.
Hall said the process of hiring thousands of seasonal workers for the summer takes months, typically starting in the previous fall or winter to fully staff up.
“Even if the parks had permission, and even if they had some funding, it takes months and months to get a crew of seasonal (workers) recruited, vetted, hired, boarded into their duty stations, trained and ready to serve the public by Memorial Day,” Hall said.
Compounding the staffing issue is the fact that many park superintendents, some of whom oversee the most iconic parks like Yosemite, have retired or taken the Trump administration’s deferred resignation offers. That leaves over 100 parks without their chief supervisor, Brengel said.
And amid the staff losses, staffers normally assigned to park programming, construction, and trail maintenance, as well as a cadre of park scientists, have been reassigned to visitor services to keep up with the summer season.
“We know that the water levels seemed to be higher than they were last summer,” Silva said. “It is a significant amount of water flowing throughout, some of it in new areas that didn’t flood last year.”
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Matt DeMaria, a meteorologist with the National Weather Service in Albuquerque, said storms formed in the early afternoon over terrain that was scorched last year by wildfire. The burn scar was unable to absorb a lot of the rain, as water quickly ran downhill into the river.
Preliminary measurements show the Rio Ruidoso crested at more than 20 feet — a record high if confirmed — and was receding Tuesday evening.
Three shelters opened in the Ruidoso area for people who could not return home.
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The sight brought back painful memories for Carpenter, whose art studio was swept away during a flood last year. Outside, the air smelled of gasoline, and loud crashes could be heard as the river knocked down trees in its path.
“It’s pretty terrifying,” she said.
Cory State, who works at the Downshift Brewing Company, welcomed in dozens of residents as the river surged and hail pelted the windows. The house floating by was “just one of the many devastating things about today,” he said.
The Trump administration’s broadsides against scientific research have caused unprecedented upheaval at the National Cancer Institute, the storied federal government research hub that has spearheaded advances against the disease for decades.
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NCI, which has long benefited from enthusiastic bipartisan support, now faces an exodus of clinicians, scientists, and other staffers, some fired, others leaving in exasperation.
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After years of accelerating progress that has reduced cancer deaths by a third since the 1990s, the institute has terminated funds nationwide for research to fight the disease, expand care, and train new oncologists. “We use the word ‘drone attack’ now regularly,” one worker said of grant terminations. “It just happens from above.”
The assault could well result in a perceptible slowing of progress in the fight against cancer.
Nearly 2 million Americans are diagnosed with malignancies every year. In 2023, cancer killed more than 613,000 people, making it the second leading cause of death after heart disease. But the cancer fight has also made enormous progress. Cancer mortality in the U.S. has fallen by 34% since 1991, according to the American Cancer Society. There are roughly 18 million cancer survivors in the country.
That trend “we can very, very closely tie to the enhanced investment in cancer science by the U.S. government,” said Karen Knudsen, CEO of the Parker Institute for Cancer Immunotherapy and a globally recognized expert on prostate cancer.
This article is based on interviews with nearly two dozen current and former NCI employees, academic researchers, scientists, and patients. KFF Health News agreed not to name some government workers because they are not authorized to speak to the news media and fear retaliation.
“It’s horrible. It’s a crap show. It really, really is,” said an NCI laboratory chief who has worked at the institute for three decades. He’s lost six of the 30 people in his lab this year: four scientists, a secretary, and an administrator.
Extreme views can give influencers higher clicks, more audience and a more lucrative brand, Caulfield said, so the incentive is clear to steer towards those ideologies. “And the sad thing is that, the more it becomes about ideology, the harder it is to change people’s minds, because it is about belonging to a community.”
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There are strategies to counter the misinformation, though. It’s important to do it in a respectful and constructive way, even when it comes from influencers some may dismiss as “frivolous,” Caulfield said. “Pre-bunking” can also help, he added — getting out ahead of the misinformation, and making people aware of the tactics used to push it.
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For others, the focus is much more on the other platforms hosting these influencers. Hood is pushing for more clarity on climate policies, and for measures including bans on amplifying and monetizing content that clearly contradicts climate science.
He also called on regulators to take a hard look at the products and services being sold on Instagram and other platforms. “It is the Wild West,” he said.
Meta, which owns Instagram, declined to comment. The company has policies to counter misinformation, including international teams of fact checkers which evaluate climate science content. When they rate posts as false, they can reduce distribution and add warning labels, and accounts that repeatedly offend can lose the ability to advertise or monetize.
But for experts like Hood, there is simply not enough being done to tackle a problem with such alarming implications.
As the climate crisis continues to fuel more frequent and more severe extreme weather events, it is creating perfect conditions for climate denial and misinformation to flourish across these parts of the wellness community.
“The dark side of wellness has always been there. It’s just now we see it,” Simmons said.