Cheyenne River Sioux Tribe Health Center is an Indian health care facility in South Dakota, Eagle Butte. This picture was taken in 2021 when the pandem of the region was shot hard.
Dawnee Lebeau/Bloomberg through Getty Images
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E -mails began to come late on Monday night.
“The Ministry of Health and Human Services (HHS) proposes to re -assign you as part of a wider effort to strengthen the department and to encourage the health of the American people more effectively.” “A critical need for American Indian and Alaska domestic communities.”
In the midst of the major dismissal of the Trump administration in HHS, this re -assignment e -mails accelerated a significant leadership liquidation in federal health institutions. In different regions of HHS, senior officials were taken to administrative permission with a new job placement option in Alaska, Montana, New Mexico or Indian Health Service (IHS).
“I have never seen that this has come.” He said. The manager asked the management not to be defined because of fear of ordeal.
William “Chef Bill” Smith is president of an organization defending IHS on behalf of the national Indian medical committee tribes. “Any major leadership change in IHS should be fully consulted to the tribal nations,” Smith said in a statement to NPR. “Tribal consultation is not only a procedural step, but a fundamental responsibility of the federal government.”
“The highest level disrespect”
The number of health leaders receiving E -Posts and who is chosen remains uncertain. E -mail does not specify what will happen to those placed in administrative leave if they do not accept the offer.
HHS did not answer NPR’s questions about the scope of re -assigning proposals. The NPR confirmed that nine leaders had re -assigning E -mail; It could be more.
“The movement is disrespectful to public service. It is clearly designed to force talented scientists and health professionals to leave the government.” Says. He also continued: “In addition, the Indian Health Service is insulting health professionals who devote their lives to providing health services on tribal territory.”
It is unclear whether everyone has received the offer or plans to receive.
“I’m a career officer. I worked for Republicans and Democrats.” He said. “Public service is a noble business, and the ability to serve our country and to influence all the population by coming to work is a gift. So there is a sadness that comes with.”
Connections with Fauci
In the National Institutes of Health (NIH), some sources speaking with NPR, some of the resources suspected of targets were selected as Pandemiye ordeal.
According to an e -mail obtained by NPR, Dr. After Leaving Anthony Fauci, Dr. Jeanne Marrazzo received an offer.
According to a source that is not authorized to talk about the situation, Christine Grady, the best bioethist of Fauci’s wife, NIH, with two other people close to Fauci.
Fauci, who left NIH in 2022, became a hero for many people during his pandemi, but worsening the government’s reaction by critics. As the Director of NIH, Dr. Francis Collins has recently been forced from the agency.
The offer said, “It seems like an opportunity to say that they will not be left, and they are offered a new opportunity, Sus Susan Polan said American Public Health Association Assistant Director. But this “does not seem like the final target. The goal really seems to weaken the leadership in these agencies.”
IHS is used as “pawn”
Plan, during a briefing last week by public health defenders and authorities Disease Control and Prevention Centers, Food and Pharmaceuticals Administration, NIH and other agencies spoiled about 10,000 workers.
“IHS needs are not met and used as a pawn in the game of forcing HHS personnel to resign instead of being fired.”
Dallas County Health and Human Services Director Phillip Huang, the briefing, “a way to let people leave,” he added.
The Indian Health Service offers important services and said that Huang and others deserve to be appointed sufficiently with the most qualified workers.
According to the E -Post obtained by the NPR, the proposal authorities to respond to the proposal until 17:00 on Tuesday, March 1, March 1, on Tuesday, April 1.
E -Posta writes: “This inadequate service community deserves the highest quality and HHS needs individuals like you to offer this service.” HHS Deputy Secretary of Human Resources Thomas J. Nagy Jr.
Re -assignment places
Nagy’s E -Post offers authorities working options in various places with a mixture of states, cities and reservations. They correspond IHS fields, an official assignmentexcept for some exceptions. This is the list of e -mail:
- Alaska
- Albuquerque [New Mexico]
- Bemidji [Minnesota]
- Invoices [Montana]
- Large plains [South Dakota, North Dakota, Nebraska, Iowa]
- Navajo [Arizona, New Mexico, Utah]
- Oklahoma
“We want to understand your preference for this potential re -assignment opportunities, E -Posta says.
“In particular, we want to know which regions you will accept a voluntary re -assignment and that you will accept the order of your choice, if any,” he says.
Health leaders offered transfer
According to sources that share information with NPR because they do not have the authority to speak with the press, IHS re -assignment offers the authorities in addition to Marrazzo and Grady:
– Dr. H. Clifford Lane, Deputy Director of Clinical Research of the National Institute of Infectious Diseases.
– Dr. Emily ERBELING, Director of Microbiology and Infectious Diseases Department of National Allergy and Infectious Diseases Institutes.
– NIH Communication Director Renate Myles;
-Dr. Eliseo J. Pérez-Stable, Director of the National Institute of Health and Health inequalities of minority;
– Dr. Shannon Zenk, Director of the Institute of National Nursing Studies;
– Dr. Diana Bianchi is the Director of Eunice Kennedy Shriver National Child Health and Human Development Institute.
– Brian King, Food and Pharmaceutical Administration Tobacco Products Center Director.
IHS, RFK Jr. is a priority for.
India Health Service EARLY TARGET OF ELON MUSK’S DOGE PARTSWhen 950 employees were fired in February. However, HHS secretary Robert F. Kennedy Jr. He quickly intervened and said that all these staff should be hired. Ken The Indian Health Service has always been treated as a red -haired step -child in HHS, Ken Kennedy said in a written statement to ICT, a non -profit news organization covering the indigenous people.
In March 2021, New Mexico is a COVİD-19 vaccination activity organized by the Indian Health Service in Gallup.
Cate Dinkley/Bloomberg through Getty Images
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Kennedy announced that he will visit Navajo Nation on Monday -Çar Wednesday. Kennedy called “Maha Tour” – referring to the slogan that made America healthy again. He will also go to Arizona and Utah and meet tribal leaders, but he did not share a definite route in a press release on HHS.
HHS spokesman Andrew Nixon, India Health Service and all HHS departments were ordered to reduce contract expenditures by 35%.
Georges Benjamin, General Manager of the American Public Health Association, says that wider deductions in federal health programs affect tribal communities. “When they cut the grants or close CDC programs, they cut IHS programs directly and indirectly,” he says.
Benjamin does not think that the purpose of NIH re -appointment proposals is to “hurt or destroy”, but “to take a person who has been trained in clinical skills that do not practice clinically, is often not useful.” “This is the most cynical view, a way of quitting senior people.”
Smith, who is from the Valdez Village in Alaska and the National Indian Medical Board, says tribal leaders need to focus on any change.
“We encourage the Ministry of Health and Human Services (HHS) to support this obligation and to participate in a meaningful tribe consultation before progressing with any re -assignment.”
Among the other best Federal Health officials who have been forced recently, Dr. Peter Marks is located.
