Aid cuts have shaken HIV/Aids care to its core – and will mean millions more infections ahead; The Guardian, December 1, 2025

Kat Lay , The Guardian; Aid cuts have shaken HIV/Aids care to its core – and will mean millions more infections ahead

"Stories of the devastating impact of US, British and wider European aid cuts on the fight against HIV – particularly in sub-Saharan Africa – continue to mount as 2025 comes to an end, and are set out in a series of reports released in the past week.

The Trump administration abruptly cut all overseas aid spending in January, with only piecemeal restorations to funding since then. Other countries, including the UK, have announced their own cuts. It has been estimated that external health assistance over 2025 will be between 30% and 40% lower than it was in 2023."

Eli Lilly Reaches $1 Trillion in Value, Buoyed by Demand for Its Weight Loss Drugs; The New York Times, November 21, 2025

  Rebecca Robbins , The New York Times; Eli Lilly Reaches $1 Trillion in Value, Buoyed by Demand for Its Weight Loss Drugs

"Pharmaceuticals is a notoriously cyclical business. Companies buoyed by once-in-a-generation product lines flounder after their blockbuster drugs lose patent protection."

This May Be the Cruelest, Most Senseless Thing Trump Has Done A conversation with Atul Gawande about the human toll of the dismantling of foreign aid.; The Bulwark, Jonathan Cohn, November 16, 2025

JONATHAN COHN , The Bulwark; This May Be the Cruelest, Most Senseless Thing Trump Has Done

A conversation with Atul Gawande about the human toll of the dismantling of foreign aid.

"SECRETARY OF STATE MARCO RUBIO was indignant in May when, at a hearing before Congress, lawmakers asserted that the Trump administration’s cuts to international aid were killing people.

“No one has died,” Rubio insisted.

It was not an especially believable claim, even then. But death from disease and starvation can be difficult to detect quickly. And it had been less than five months since Trump had signed an executive order halting global assistance—or since then-adviser Elon Musk had tweeted gleefully about “feeding USAID into the wood chipper.”

That was a reference to the United States Agency for International Development, which John F. Kennedy established in 1961 to help the world’s neediest people and make America safer by promoting stability and generating goodwill abroad. Trump and his team decided to dismantle the agency because it was supposedly too “woke” or too wasteful—or, maybe, because it was an easy first step in their radical downsizing of the federal government.1

Among those most alarmed was Atul Gawande, the surgeon and award-winning writer who had overseen USAID’s global health programs during the Biden administration. He spent much of the winter and spring imploring Trump allies in Congress to save the agency, citing its long history of bipartisan support, including from then-Senator Rubio. As hopes for a reprieve faded, Gawande turned to spotlighting the consequences—partly to build a case for rescuing what could be rescued and rebuilding what couldn’t, and partly just to bear witness.

“They’re trying to make the loss of life invisible,” Gawande told me this week, “they’re trying to deny the reality, and the first task is making the invisible visible.”

The impetus for our conversation was a new documentary called Rovina’s Choice that Gawande has produced together with the New Yorker. The documentary is about a Sudanese refugee in Kenya and her attempts to get help for her daughter, Jane, who is suffering from severe malnutrition.

The film depicts the physical toll on Jane and others, including how a loss of ability to regenerate skin cells leads to painful, burning fissures that won’t heal—and to a literal thinning of skin that makes it increasingly difficult to maintain body temperature or prevent infection. But another wrenching part of the story may be the emotional toll on Rovina and her entire family, and the excruciating decisions she must make to protect them all.

None of this has to happen, as Gawande explained in our conversation. Starvation can seem like one of those intractable, hopeless realities governments can’t change. But the development of “Plumpy’Nut”-style paste and deployment of aggressive community outreach efforts have transformed food assistance over the past two decades, possibly saving more than 1 million lives in 2023 alone, according to UNICEF.2

The tragedy—and human toll—of abandoning those advances are an important theme of Rovina’s Choice. It’s also what he and I discussed during our interview. You can watch the whole thing on YouTube and read some excerpts below.3"

U.S. visas can be denied for obesity, cancer and diabetes, Rubio says; The Washington Post, November 13, 2025

Lauren Kaori Gurley

 and 

Hannah Natanson

, The Washington Post; U.S. visas can be denied for obesity, cancer and diabetes, Rubio says

"The Trump administration directed visa officers to consider obesity — and other chronic health conditions such as heart disease, cancer and diabetes — as reasons to deny foreigners visas to the United States."

A Light in Very Dark Days: Nancy Pelosi and AIDS; The New York Times, November 7, 2025

Adam Nagourney, Heather Knight, Kellen Browning and Laurel Rosenhall, The New York Times ; A Light in Very Dark Days: Nancy Pelosi and AIDS

"Ms. Pelosi, the new member of Congress representing San Francisco at the time, asked the nurses if they had what they needed and if any patients were up for a bedside visit. Then she would slip into their rooms alone.

“Early on, it was not seen as a wise or popular thing to do, to champion people with AIDS, of all things,” Mr. Wolf, 74, recalled. “You didn’t want to align yourself too closely, but she didn’t care. We were her constituents, and she went to bat for us over and over and over again.”...

Ms. Pelosi, who announced on Thursday her plans to retire from Congress, is known nationally as a Washington leader praised by Democrats for standing up to President Trump and derided by Republicans as a symbol of the radical excesses of the left. But back home, her reputation was shaped by how she stepped forward at the earliest and most terrifying moment of a local crisis and how she fought to help her constituents deal with the AIDS epidemic and fight for L.G.B.T.Q. rights.

The public side of this is by now well-known: How over decades spent in Congress she fought for money for AIDS research and treatment or invited prominent AIDS and gay rights activists to be at her side at the State of the Union address and other events. But much of it took place away from the public eye. It’s those moments many of her gay constituents in San Francisco talk about as she approaches the end of her congressional career."

Pitt School of Medicine Student Innovator is Empowering People to Take Charge of Their Healthcare; University of Pittsburgh Office of Innovation & Entrepreneurship, October 21, 2025

 KAREN WOOLSTRUM , University of Pittsburgh Office of Innovation & Entrepreneurship; Pitt School of Medicine Student Innovator is Empowering People to Take Charge of Their Healthcare

"Inspiration Strikes in the ER

While her research focuses on cystic fibrosis, Li’s entrepreneurial journey began during a rotation in the emergency room. It dawned on her that many patients in the ER could be empowered to take control of their own health monitoring and potentially avoid traumatic and costly ER visits. She quickly devised an idea for an electronic stethoscope that people can use to measure vital signs of the heart and lungs from home.

In collaboration with a friend, Akshaya Anand, a machine-learning graduate student from the University of Maryland, she founded Korion Health and entered the 2022 Randall Family Big Idea Competition hosted by the Big Idea Center, Pitt’s hub for student innovation (part of the OIE).

They were awarded a modest $2,000 4th-place prize, but the value they received from the month-long competition and mentorship extended far beyond that. The experience of crafting her pitch and having her idea validated in the eyes of experienced entrepreneurs gave her the confidence to continue pursuing the device’s commercial potential.

Next up was a pitch competition hosted by the Product Development Managers Association (PDMA) in which she won free first place in the graduate-student category, with the award including consulting hours from local companies such as Bally Design and Lexicon Design that she said “helped me take my half-baked idea and turn it into a prototype to show to investors.”

“This was a high yield for the effort. If it’s something they can hold in their hands it really helps communicate the value proposition,” she added.

From there, things began to snowball. On the same day that she won the UpPrize Social Innovation Competition sponsored by Bank of New York in the racial equity category ($75k), she won the first place prize from the American Heart Association’s EmPOWERED to Serve Business Accelerator ($50k). The resulting publicity attracted the attention of organizers of the Hult Prize Competition, a global student startup competition that receives thousands of applicants each year, who invited her to apply.

“I didn’t know anything about the Hult Prize competition. At first, I thought it was spam,” she admitted.

She had no illusions of advancing to the finals near London, let alone winning the top prize of $1 million: until she did."

Following Trump cut to LGBTQ youth suicide hotline, California steps up to fill the gap; Governor Gavin Newsom, July 16, 2025

Governor Gavin Newsom; Following Trump cut to LGBTQ youth suicide hotline, California steps up to fill the gap

"Just weeks after the Trump administration announced that they would eliminate specialized suicide prevention support for LGBTQ youth callers through the 988 Suicide & Crisis Lifeline, California is taking action to improve behavioral health services and provide even more affirming and inclusive care. Through a new partnership with The Trevor Project, Governor Gavin Newsom and the California Health and Human Services Agency (CalHHS) will provide the state’s 988 crisis counselors enhanced competency training from experts, ensuring better attunement to the needs of LGBTQ youth, on top of the specific training they already receive.

This partnership builds on existing collaborations, like those under California’s Master Plan for Kids’ Mental Health, and reflects a shared commitment to evidence-based, LGBTQ+ affirming crisis care. Callers to 988 will continue to be met with the highest level of understanding, respect, and affirmation when they reach out for help.

“To every young person who identifies as LGBTQ+: You matter. You are not alone. California will continue to show up for you with care, with compassion, and with action,” said Kim Johnson, Secretary of CalHHS. “Through this partnership, California will continue to lead, providing enhanced support for these young people.”

“There could not be a more stark reminder of the moral bankruptcy of this Administration than cutting off suicide prevention resources for LGQBT youth. These are young people reaching out in their time of deepest crisis—andI’m proud of California’s work to partner with the Trevor Project to creatively address this need. No matter what this Administration throws at us, I know this state will always meet cruelty with kindness and stand up for what’s right,” said First Partner Jennifer Siebel Newsom.

California’s crisis call centers

Across California, twelve 988 call centers remain staffed around the clock by trained crisis counselors, ready to support anyone in behavioral health crises, including LGBTQ youth.

f you, a friend, or a loved one are in crisis or thinking about suicide, you can call, chat, or text 988 and be immediately connected to skilled counselors at all times. Specialized services for LGBTQ youth are also available via The Trevor Project hotline at 1‑866‑488‑7386, which continues as a state-endorsed access point...

Why this matters

LGBTQ youth are four times more likely to attempt suicide than their peers, and without affirming services, their risk increases dramatically. Since its launch in 2022, the 988 LGBTQ+ “Press 3” line connected more than 1.5 million in crisis.

How to get help 

Call, text or chat 988 at any time to be connected with trained crisis counselors.

Call 1-866-488-7386, text START to 678678, or chat at TheTrevorProject.org/GetHelp to reach Trevor Project specialists.

Visit CalHOPE for non-crisis peer and family support."

Trump administration ends 988 Lifeline's special service for LGBTQ+ young people; NPR, July 19, 2025

Rhitu Chatterjee , NPR; Trump administration ends 988 Lifeline's special service for LGBTQ+ young people

[Kip Currier: Like the suspension of PEPFAR medicines for HIV prevention throughout the Global South and the dismantling of USAID, terminating Lifeline's specialized services for at risk LGBTQ+ youth is another deeply cruel and indifferent policy decision by the Trump 2.0 administration that will result in losses of life. One has to wonder about the moral character of the individuals who are making these decisions.

California has introduced measures to provide these life-saving services for LGBTQ+ young persons, as reported in a July 16, 2025 press release:

Just weeks after the Trump administration announced that they would eliminate specialized suicide prevention support for LGBTQ youth callers through the 988 Suicide & Crisis Lifeline, California is taking action to improve behavioral health services and provide even more affirming and inclusive care. Through a new partnership with The Trevor Project, Governor Gavin Newsom and the California Health and Human Services Agency (CalHHS) will provide the state’s 988 crisis counselors enhanced competency training from experts, ensuring better attunement to the needs of LGBTQ youth, on top of the specific training they already receive.]

Where are the voices of, for example, Big Tech gay billionaires like Apple CEO Tim Cook, Palantir co-founder Peter Thiel, and OpenAI co-founder/CEO Sam Altman -- who are privileged and blessed to be in positions of leadership and influence -- to speak out against policy decisions like this? Or step up to the plate and donate a fraction of their wealth to support services like Lifeline?]

[Excerpt]

"The nation's Suicide and Crisis Lifeline, 988, shuttered the specialized services for LGBTQ+ youth this week. The move came a day after the Lifeline marked three years since its launch. During this period, it has fielded more than 16 million calls, texts and chats. Nearly 10% of those contacts have been from gay and transgender young people, according to government data.

"This is a tragic moment," says Mark Henson, vice president of government affairs and advocacy at The Trevor Project, one of several organizations that had contracts with the federal government to provide counseling services for this vulnerable population. The Trevor Project fields about half the LGBTQ+ contacts.

Data from the Youth Behavior Risk Survey, conducted by the Centers for Disease Control and Prevention, show that LGBTQ+ youth are more likely to experience persistent feelings of sadness and hopelessness compared to their peers, and more likely to attempt suicide.

When these young people contact 988, they have had the option to press 3 to be connected to a counselor specifically trained to support their unique mental health needs, which are associated with discrimination and violence they often face. This service is similar to what 988 offers to veterans, who are also at a higher risk of suicide, and can access support tailored for them by pressing 1 when they contact 988. That service will be retained as 988 enters its fourth year.

"Many LGBTQ+ youth who use these services didn't know they existed until they called 988 and found out there is someone on the other end of the line that knows what they've gone through and cares deeply for them," says Henson.

Government data show that demand for this service grew steadily since it launched, from about 2,000 contacts per month in September 2022 to nearly 70,000 in recent months."

Trump administration to destroy nearly $10m of contraceptives for women overseas; The Guardian, July 18, 2025

Carter Sherman , The Guardian; Trump administration to destroy nearly $10m of contraceptives for women overseas

"The Trump administration has decided to destroy $9.7m worth of contraceptives rather than send them abroad to women in need.

A state department spokesperson confirmed that the decision had been made – a move that will cost US taxpayers $167,000. The contraceptives are primarily long-acting, such as IUDs and birth control implants, and were almost certainly intended for women in Africa, according to two senior congressional aides, one of whom visited a warehouse in Belgium that housed the contraceptives. It is not clear to the aides whether the destruction has already been carried out, but said they had been told that it was set to occur by the end of July."

Here’s how Trump’s megabill will affect you; CNN, July 1, 2025

Zachary Wolf and Tami Luhby , CNN; Here’s how Trump’s megabill will affect you

"Seniors, students, taxpayers, children, parents, low-income Americans and just about everyone else will be affected by the massive tax and spending bill being hashed out in real time on Capitol Hill...

Here’s what we know about how the Senate bill will affect… 

people on Medicaid: millions will lose coverage...

people who need help affording food: fewer will get it...

people with Affordable Care Act policies: more difficulty getting covered...

people who aren’t on Medicaid, Obamacare or SNAP: may still feel the cuts"

Lisa Murkowski Gives Infuriating Defense of Vote for Trump Budget; The New Republic, July 1, 2025

Robert McCoy, The New Republic; Lisa Murkowski Gives Infuriating Defense of Vote for Trump Budget

"Murkowski today is perhaps best rebutted by the words of Murkowski eight years ago, when she held fast as Senate Republicans dangled deals before her in hopes of getting her to help repeal Obamacare: “Let’s just say that they do something that’s so Alaska-specific just to quote, ‘get me,’” she told reporters at the time. “Then you have a nationwide system that doesn’t work. That then comes crashing down and Alaska’s not able to kind of keep it together on its own.”"

An Ignominious Bill Passed By an Inglorious Body; The Bulwark, July 1, 2025

JONATHAN COHN, The Bulwark ; An Ignominious Bill Passed By an Inglorious Body

"THE LEGISLATION SENATE REPUBLICANS passed on Tuesday is probably going to kill a lot of people.

It sounds stark when you put it that way, but death is a stark thing. It’s also what can be reasonably expected from the GOP legislation, especially the cuts to Medicaid and the Affordable Care Act projected to leave nearly 12 million Americans newly uninsured.

When people can’t pay for medical care they frequently don’t get it. And when people don’t get medical care, they’re more likely to die early from a preventable condition. That’s what you’ll find if you read the latest research, and what you’ll learn if you ask people working on the front lines of medical care."

Murkowski Casts Decisive Vote for G.O.P. Policy Bill, Making an ‘Agonizing’ Choice; The New York Times, July 1, 2025

Annie Karni , The New York Times; Murkowski Casts Decisive Vote for G.O.P. Policy Bill, Making an ‘Agonizing’ Choice

"Senator Lisa Murkowski, Republican of Alaska, on Tuesday cast the deciding vote for President Trump’s sprawling bill to slash taxes and social safety net programs, embracing a measure she acknowledged would harm Americans after securing carve outs to protect her constituents from its harshest impacts."

HOW FOX NEWS IS HIDING THE GOP’S BRUTAL MEDICAID CUTS; Media Matter, June 26, 2025

WRITTEN BY MATT GERTZ, RESEARCH CONTRIBUTIONS FROM TYLER MONROE, Media Matters; How Fox News is hiding the GOP’s brutal Medicaid cuts

Network mentions of “Biden” are outpacing “Medicaid” 10-to-1 

"Fox News has mentioned Medicaid, the vital federal health insurance program that President Donald Trump and his Republican allies are seeking to slash, significantly less often than CNN or MSNBC have, and one-tenth as frequently as it has referenced former President Joe Biden and his family, according to a Media Matters review of the first five months of the Trump administration.

Media Matters identified 1,390 mentions of the word “Medicaid” on Fox’s original programming from January 20 through June 21, based on searches of the Kinetiq database of closed-captioning transcripts. By contrast, using the same method, we found that the network mentioned “Biden” 13,289 times during that period.

Notably, Jesse Watters’ prime-time show mentioned “Biden” 1,096 times compared to only 20 mentions of “Medicaid,” a ratio of 55-to-1. The broadcast referenced “Biden” more times than any other show on the network — including those that air for two or three hours each weekday — and “Medicaid” less often than any other weekday show with the exception of Gutfeld!, which is nominally a comedy program, and Fox News @ Night."

Alaska Cannot Survive This Bill; The New York Times, June 27, 2025

Bryce Edgmon and Cathy Giessel, The New York Times ; Alaska Cannot Survive This Bill

"The likely impacts from the “big, beautiful bill” are particularly ugly for our home state, Alaska: Nearly 40,000 Alaskans could lose health care coverage, thousands of families will go hungry through loss of benefits from the Supplemental Nutrition Assistance Program, or SNAP, and the shift in costs from the federal government to the state will plunge our budget into a severe deficit, cripple our state economy and make it harder to provide basic services.

This is not about partisanship. One of us is a Republican and the other is an independent. In the Alaska Legislature, our State Senate and House are led by a bipartisan governing coalition. Our focus is squarely on the survival of the people we represent.

The benefits of Medicaid and the SNAP program permeate the entire fabric of the Alaska economy, with one in three Alaskans receiving Medicaid, including more than half of the children. In remote Arctic communities, Medicaid dollars make medical travel possible for residents from the hundreds of roadless villages to the communities where they are able to receive proper medical treatments...

Alaska cannot afford to lose health care funding. Our state is near the top of the list for the highest rates of suicide, tuberculosis and sexually transmitted infections in the nation. It is also severely lacking in adequate behavioral health services. The cuts will only make these problems worse.

Work requirements instituted in Medicaid are untenable for rural Alaska, with many communities facing limited broadband access and job opportunities. Alaskans who lose health care coverage will be forced to delay care until it’s an emergency."

Promise of Victory Over H.I.V. Fades as U.S. Withdraws Support; The New York Times, June 25, 2025

Stephanie Nolen , The New York Times; Promise of Victory Over H.I.V. Fades as U.S. Withdraws Support

"This was supposed to be a breakthrough year in the 44-year-long struggle against H.I.V.

Decades of research and investment produced new approaches to vaccines that were going into their first significant clinical trials.

The hunt for a cure was homing in on key mechanisms to block the virus, which can lurk dormant and near-untraceable in the body for years.

Most critically, a breakthrough preventive drug, lenacapavir, a twice-yearly injection that offers total protection from H.I.V., was to be rapidly rolled out across eastern and southern Africa. The main target: young women. About 300,000 of them were newly infected with the virus last year — half of all new infections worldwide.

Every one of these plans has been derailed by the Trump administration’s slashing of foreign assistance."

His custom cancer therapy is in an NIH freezer. He may not get it in time.; The Washington Post, June 18, 2025

 Carolyn Y. Johnson, The Washington Post; His custom cancer therapy is in an NIH freezer. He may not get it in time.

[Kip Currier: Yet another compelling example why effective, well-staffed, responsive government agencies are vital. And another example of how destructive the Trump 2.0 DOGE-facilitated cuts have been and are to the lives of many Americans.

When reading this article, imagine you are the person waiting for the experimental cancer treatment that may save your life. Tragically, you may not get that treatment in time, however, simply because Trump fired the workers who might have been able to deliver it to you.

Fortunately, this Washington Post article is educating us about Richard Schlueter's "time is of the essence" need for his tailored treatment. What about all the other people in similar situations as Schlueter, though, whose stories and urgent needs we don't know?

Our elected officials must do better jobs advocating for the needs of the American people and getting results.

And we the people must do better jobs at being informed citizens ourselves, supporting programs that work for the common good, and voting for candidates committed to the public interest and person-centered, well-functioning democracies that are empathetic and responsive to the practical and aspirational needs of individuals and communities.

Remember these Trump 2.0 DOGE cuts when it comes time to vote for your state and federal representatives.]

[Excerpt]

"In early June, a scan revealed that the cancer that started in his tonsils was racing through his bones. That day, he called a medical team at the National Institutes of Health that had created an experimental cell therapy, custom-made to attack his cancer as part of a clinical trial. He needed it. Now.

Instead, he received more bad news: His therapy would be delayed at least a month because of staff cuts at NIH.

A week later, Schlueter and his wife, Michelle, saw NIH Director Jay Bhattacharya push back on concerns raised by his own staff that the ouster of essential employees and other disruptions to the biomedical research agency were harming science and patients. Bhattacharya said on X that objections raised in a document called the Bethesda Declaration contained “fundamental misconceptions” about NIH’s new direction. Each termination was being reviewed, and some workers were reinstated, he added.

But the Schlueters had a front-row seat to the effects of the job losses. Richard’s therapy was in a freezer, nearly ready to go. All along, they had been told the final step of preparation takes three to four weeks. But on June 3, his NIH doctor informed him that it would now take eight to 10 weeks because of cuts to essential lab personnel — a painful illustration of the life-and-death stakes of the administration’s approach to shrinking the government workforce.

“I’m petrified. I have to do something,” Richard said. “My cancer is on the move.”

The Washington Post first reported in early April that the production of specialized immune-cell therapies for metastatic cancer patients was delayed. Two highly skilled technicians who prepared cells for treatments were fired in the probationary purge in February, according to Steven Rosenberg, an NIH immunotherapy pioneer who leads multiple trials. He declined to say how many patients were affected, but his team now treats one patient per week, down from two or three before the cuts."

‘Extremely disturbing and unethical’: new rules allow VA doctors to refuse to treat Democrats, unmarried veterans; The Guardian, June 16, 2025

 Aaron Glantz, The Guardian; ‘Extremely disturbing and unethical’: new rules allow VA doctors to refuse to treat Democrats, unmarried veterans

[Kip Currier: As The Guardian article's aptly references, these new V.A. treatment rules are "extremely disturbing and unethical". 

The right to exercise one's religious beliefs is a fundamental constitutional right. However, one has to marvel at the dearth of basic decency of a healthcare provider who refuses to treat someone based on their gender, or whether they're married or an LGBTQ+ person.

Is it too much to expect someone who enters the healthcare professions to be able to commit to helping any veteran who needs care, no matter what that healthcare provider's religious beliefs are or are not?

The answer is and should be an emphatic NO.]

[Excerpt]

"Doctors at Department of Veterans Affairs (VA) hospitals nationwide could refuse to treat unmarried veterans and Democrats under new hospital guidelines imposed following an executive order by Donald Trump.

The new rules, obtained by the Guardian, also apply to psychologists, dentists and a host of other occupations. They have already gone into effect in at least some VA medical centers.

Medical staff are still required to treat veterans regardless of race, color, religion and sex, and all veterans remain entitled to treatment. But individual workers are now free to decline to care for patients based on personal characteristics not explicitly prohibited by federal law.

Language requiring healthcare professionals to care for veterans regardless of their politics and marital status has been explicitly eliminated...

In interviews, veterans said the impact of the new policy would probably fall hardest on female veterans, LGBTQ+ veterans and those who live in rural areas where there are fewer doctors overall."