reduce $2 trillion national deficit health crisis wreaks havoc a

Somebody got a $2 trillion reduction in the national deficit, which itself is a health crisis wreaking havoc at every level. 

“wreaking havoc at every level"

The phrase “wreaking havoc at every level” means causing widespread disruption, chaos, or damage across multiple systems, layers, or domains. It’s often used to describe situations where the impact is broad and deep, affecting everything from top-level leadership to grassroots or operational areas.

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Structure:

[Subject] is wreaking havoc at every level of [system/domain].

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Examples in Context:

1. Politics:

   The abrupt policy changes are wreaking havoc at every level of government, from federal agencies to local school boards.

2. Education:

   The pandemic wrought a digital divide that is still wreaking havoc at every level of the education system—students, teachers, administrators, and infrastructure alike.

3. Healthcare:

   Staff shortages are wreaking havoc at every level of the hospital—ICUs are overwhelmed, patients are waiting longer, and morale is collapsing.

4. Technology/Cybersecurity:

   The ransomware attack is wreaking havoc at every level of the company, from the CEO’s office to customer service operations.

5. Economics:

   Inflation is wreaking havoc at every level of the supply chain, from manufacturers to end consumers.

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? Tone:

The phrase is dramatic and emphatic, best used when you want to highlight serious, systemic disruption. It's often found in journalism, speeches, or opinion pieces.

Would you like a more formal alternative or a Chinese translation of the phrase as well?

Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr.  also said Trump “has a broader vision” to bring down the $2 trillion national deficit, which he called “a health crisis.”

 

Hoyer asked Kennedy to describe the planning process behind the HHS cuts and the influence of Elon Musk’s Department of Government Efficiency. Kennedy said Musk “gave us help in figuring out where there was waste, fraud, and abuse,” but “it was up to me to make the decisions” and “there are many instances where I pushed back.”

 

Democrats on the panel repeatedly told Kennedy that only Congress can make the proposed organizational changes. “Any reorganizing of NIH must go through the Congress. … Mr. Secretary, you have no lawful authority to undertake this by yourself,” De Lauro insisted.

 

Democrats also focused on Kennedy’s tepid support for vaccines against the backdrop of more than 1000 measles cases in 30 U.S. states this year, only the second time this century that number has been exceeded. Three people have died, two of them children. Representative Mark Pocan (D–WI) asked Kennedy whether, if he had a child now, he would vaccinate that child against measles, chickenpox, and polio. Kennedy responded: “For measles, um, probably for measles.” He then declined to answer the question for the other two vaccines, saying, “I don’t want to give advice” that he is not medically qualified to dispense. “My opinions about vaccines are irrelevant.”

All three vaccines have long track records of safety and effectiveness and have dramatically reduced the incidence of the diseases in this country. Virtually all cases in the current measles outbreak have occurred in unvaccinated people.

Kennedy also said, “In Europe, they don’t use the chickenpox vaccine.” In fact, 12 European countries and the United Kingdom do include it in their childhood vaccination schedules and in 2015 the European Centre for Disease Prevention and Control recommended it for all European Union members. In the United States, where the vaccine was introduced in the mid-1990s, chickenpox incidence has declined by more than 95%.

The exchange prompted De Lauro to scold Kennedy. “You have tremendous power over health policy,” she said. “I’m really horrified that you will not encourage families to vaccinate their children [against] measles, chickenpox, polio.”

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“Americans need direct reassurance from the administration and from you, Mr. Secretary, that these reforms will make their lives easier, not harder,”  committee Chair Bill Cassidy (R–LA),a physician, said.

Kennedy’s explanation that he intends to carry out his Make America Healthy Again agenda by doing “a lot more with less” was soon interrupted by demonstrators chanting, “RFK kills people with AIDS.” 

 

The Trump administration has cut HIV programs at CDC and hundreds of HIV-related NIH grants, in addition to hobbling the United States President’s Emergency Plan for AIDS Relief, a 22-year-old program that provides medication to prevent and treat HIV/AIDS in low-income countries.

[storytelling]:

Senator Patty Murray (D–WA) told Kennedy of a constituent with advanced colorectal cancer who flew to NIH’s large research hospital, the Clinical Center, a few weeks ago for an initial appointment to try a last-ditch therapy. She was supposed to return 4 weeks later to begin the therapy, Murray said. But doctors have now told her they have no choice but to delay her treatment by an additional 4 weeks because of staff losses at the center, Murray said. “This could mean the difference between life and death. Secretary Kennedy, how many staff have been cut from the NIH Clinical Center? I want a specific number,” she said.

參議員帕蒂·默裏（民主黨–華盛頓州）告訴肯尼迪部長，一位患有晚期結直腸癌的選民幾周前曾飛往國家衛生研究院（NIH）的大型研究醫院——臨床中心，參加初步預約，嚐試最後一搏的治療。默裏說，這位患者原定於四周後返回接受治療，但醫生現在告訴她，由於該中心人員流失，不得不將治療再推遲四周。

默裏說：“這可能是生死攸關的事。肯尼迪部長，NIH臨床中心到底削減了多少名員工？我需要一個具體數字。”

 

As for extramural research, Sanders’s report says that as of 4 April, at least 715 NIH grants worth $815 million had been terminated since Trump took office.

doi: 10.1126/science.zbnzo8b https://www.science.org/content/article/kennedy-trump-s-health-chief-confronts-criticism-and-praise-u-s-lawmakers