Was getting a read out a short time ago about firings at CMS (the agency that runs Medicare and Medicaid). The cuts run deep. And giving how much of the health care economy runs through these programs that’s of course worrisome. But the most telling detail is one I’ve heard from numerous other agencies. The people actually running the agency don’t actually know how many people have been fired or who they are. If you’re in charge of and responsible for running the place you really need to know that. But as in other agencies they’re having to piece that together by doing things like seeing whose emails have been turned off or just asking them. Did you get fired? You? Can someone ask Lori if she got fired? Imagine running an agency and finding out that there had been widespread terminations but not being given any details about who they are or how many there are. That’s pretty straightforward sabotage.
A few days ago I did this post on the taxonomy of DOGE, who’s actually involved in it, the people who are formally part of it and the ones who are part of Musk’s operation but have not gotten official appointments in the executive branch. In that post I asked why it is that Musk seems to continue to rely on this subset of DOGE personnel — the dozen or so under-25 techies — as the landing parties who go in and actually force their way into these departments. It happens again and again. In that post I noted that Gavin Kliger is the guy at IRS. And in a conversation with a fellow journalist I was just told that another of the original crew is the lead now in the break-in at SSA.
Hard to keep track of precisely what’s happening at these different agencies. But we just got through the headlines about DOGE demanding access to literally everybody’s and every companies’ tax returns at the IRS. It seems like they now have that access, though we don’t know that for certain. (We’re basically entirely dependent on leaks since DOGE works entirely in secret.) Now news just broke that the DOGErs appear to have busted their way into the Social Security Administration, forcing the resignation of the acting commissioner, Michelle King, when she resisted their demands to give DOGE access to the agency’s most sensitive government records.
The Bonneville Power Administration, the largest transmission grid operator in the Pacific Northwest, will be shedding at least 600 workers as part of President Trump’s budget slashing across the federal federal workforce.
There’s one point that has come up, sometimes explicitly but more often by what isn’t said, in my many conversations with civil servants at HHS and especially at the core medical research agencies within it. At the simplest level, they’re not lawyers. But the issue requires a little more explanation because obviously most people aren’t lawyers in the other departments and agencies either. Outside the Department of Justice, none of these agencies are legal agencies or departments per se. But in most of the rest of the government, lawyers are ubiquitous and much of the work culture is structured around the work and ideas of lawyers. This is probably intuitively clear for most of you who’ve either reported on the federal government or worked within it. But it’s worth stating explicitly and thinking about the impact this has had in recent weeks.
Again and again in conversations with people at NIH, NCI and other public health or research agencies within the government the same basic point comes up: the people immediately affected by the events of the last four weeks have very little idea what the relevant law is, the legal standing of the actions being taken or who to talk to about any of it. I’ve had a few sources ask if I could organize some lawyers to create what amounted to a FAQ about the relevant law. I haven’t had a chance. But someone should.
Clark is reportedly back in government, in a top post at the Consumer Financial Protection Bureau. It’s an agency that Trump, Elon Musk and other allies have taken steps to paralyze in recent weeks.
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